Individual provider Active NPI

Mohammed Iqbal Ranavaya II

  • Student in an Organized Health Care Education/Training Program
  • Huntington, WV
National Provider Identifier
1235715004
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
6470 Merrick Creek Rd
Huntington, WV 25702-9739
Phone
(304) 617-6893
NPI assigned
Mar 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

6470 Merrick Creek Rd
Huntington, WV 25702-9739

Mailing address

6470 Merrick Creek Rd
Huntington, WV 25702-9739
Phone (304) 617-6893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829003461 KY Order and Referring Only - General SurgeryPractitioner - General Surgery 7810371572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1235715004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 MERRICK CREEK RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257029739",
            "telephone_number": "304-617-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 MERRICK CREEK RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257029739",
            "telephone_number": "304-617-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANAVAYA",
        "first_name": "MOHAMMED",
        "middle_name": "IQBAL",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.