Provider Demographics
NPI:1720268626
Name:NEEL RAYA MD INC
Entity type:Organization
Organization Name:NEEL RAYA MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEELKANT
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-215-5258
Mailing Address - Street 1:2658 N COLUMBUS ST STE A
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8796
Mailing Address - Country:US
Mailing Address - Phone:740-654-6596
Mailing Address - Fax:740-653-2791
Practice Address - Street 1:2658 N COLUMBUS ST STE A
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8796
Practice Address - Country:US
Practice Address - Phone:740-654-6596
Practice Address - Fax:740-653-2791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35069586261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2874331Medicaid
OH=========00OtherBWC
OH=========00OtherBWC
OHG20362Medicare UPIN