MEDICARE: SAM E RAJIAH M D INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	035724	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000128813	OTHER	OH	ANTHEM
2	043322000	OTHER	OH	MAGELLAN BEHAVIORAL HEALT
3	280118	OTHER	OH	VALUEOPTIONS
4	4097994	OTHER	OH	AETNA
5	2945609090001	OTHER	OH	MEDICAL MUTUAL INS.
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962600809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAM E RAJIAH M D INC

Provider Business Mailing Address
First Line	:	3918 CLOCK POINTE TRL
Second Line	:	SUITE 102
City	:	STOW
State	:	OH
Zip	:	44224-2989
Country	:	US
Telephone Number	:	330-923-7300
Fax Number	:	330-923-7301

Provider Business Practice Location Address
First Line	:	3918 CLOCK POINTE TRL
Second Line	:	SUITE 102
City	:	STOW
State	:	OH
Zip	:	44224-2989
Country	:	US
Telephone Number	:	330-923-7300
Fax Number	:	330-923-7301

Authorized Official
Title or Position	:	PRES.
Name	:	DR. SAM E. RAJIAH
Credential	:	M.D.
Telephone Number	:	330-923-7300

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	07/21/2010

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