MEDICARE: DR. NEELKANT RAYA MD

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	207R00000X	Internal Medicine Physician	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	:	1760468953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEELKANT RAYA MD

Provider Business Mailing Address
First Line	:	7643 LAURELWOOD DR
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-8837
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	05/17/2024

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