Healthcare Provider Details

I. General information

NPI: 1215892096
Provider Name (Legal Business Name): RAKESH RANJAN M.D. & ASSOC., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12395 MCCRACKEN RD STE F
GARFIELD HTS OH
44125-2946
US

IV. Provider business mailing address

12395 MCCRACKEN RD STE F
GARFIELD HTS OH
44125-2946
US

V. Phone/Fax

Practice location:
  • Phone: 216-587-6727
  • Fax: 866-277-0864
Mailing address:
  • Phone: 216-587-6727
  • Fax: 866-277-0864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE A KELLY
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 216-587-6727