Provider Demographics
NPI:1144342551
Name:RAJESH SARAIYA MD PC INC
Entity type:Organization
Organization Name:RAJESH SARAIYA MD PC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAYSHREE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SARAIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-405-0550
Mailing Address - Street 1:10812 RAVENNA RD
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-1016
Mailing Address - Country:US
Mailing Address - Phone:330-405-0550
Mailing Address - Fax:330-405-0557
Practice Address - Street 1:10812 RAVENNA RD
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-1016
Practice Address - Country:US
Practice Address - Phone:330-405-0550
Practice Address - Fax:330-405-0557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35072856207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2373882Medicaid
OH9330081Medicare PIN