MEDICARE: NEEL RAYA MD 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	261QP2300X	Primary Care Clinic/Center	35069586	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720268626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEEL RAYA MD INC

Provider Business Mailing Address
First Line	:	2658 N COLUMBUS ST STE A
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-8796
Country	:	US
Telephone Number	:	740-654-6596
Fax Number	:	740-653-2791

Provider Business Practice Location Address
First Line	:	2658 N COLUMBUS ST STE A
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-8796
Country	:	US
Telephone Number	:	740-654-6596
Fax Number	:	740-653-2791

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NEELKANT RAYA
Credential	:	M.D.
Telephone Number	:	740-215-5258

Provider Enumeration Date	:	11/07/2007
Last Update Date	:	05/17/2024

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