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NPI Code Detail

MEDICARE: RAKESH RANJAN MD, ASSOC, INC

MEDICARE: RAKESH RANJAN MD, ASSOC, 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)PN036147OH

General Provider Information

NPI Number : 1639562663
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAKESH RANJAN MD, ASSOC, INC
Provider Business Mailing Address
First Line : 42886 DELLEFIELD RD
Second Line :
City : ELYRIA
State : OH
Zip : 44035-1004
Country : US
Telephone Number : 440-281-0114
Fax Number :
Provider Business Practice Location Address
First Line : 1530 W RIVER RD N
Second Line :
City : ELYRIA
State : OH
Zip : 44035-2791
Country : US
Telephone Number : 440-324-5555
Fax Number : 440-324-5512
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. RAKESH RANJAN
Credential : M.D.
Telephone Number : 162-587-6727
Provider Enumeration Date : 03/16/2015
Last Update Date : 09/25/2024

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