Organization Active NPI

D Raheja MD Inc

  • Neurology Physician
  • Cleveland, OH
National Provider Identifier
1245438308
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35065408 Issued in OH
Legal business name
D RAHEJA MD INC
Practice address
2307 W 14TH St
Cleveland, OH 44113-3612
Phone
(216) 687-4044
Fax
(216) 687-4074
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Dr. Deepak Raheja, M.D.
Title
President
Phone
(440) 823-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 35065408 OH Primary

Addresses

Primary practice location

2307 W 14TH St
Cleveland, OH 44113-3612

Mailing address

PO Box 465
Hudson, OH 44236-0465
Phone (440) 823-1515

Other identifiers 1

IdentifierTypeStateIssuer
2796283MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1245438308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442360465",
            "telephone_number": "440-823-1515",
            "fax_number": "330-656-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 W 14TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133612",
            "telephone_number": "216-687-4044",
            "fax_number": "216-687-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D RAHEJA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "RAHEJA",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-823-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35065408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2796283",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.