Mir-Raj Medical, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS013788 Issued in PA

Legal business name

MIR-RAJ MEDICAL, INC.

Practice address

633 Maple Ave
Du Bois, PA 15801-2383

Phone

(814) 371-3304

Fax

(814) 371-3305

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Raj Yande, D.O.

Title

President/Owner

Phone

(814) 371-3304

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1376713941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 MAPLE AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012383",
            "telephone_number": "814-371-3304",
            "fax_number": "814-371-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 MAPLE AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012383",
            "telephone_number": "814-371-3304",
            "fax_number": "814-371-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIR-RAJ MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "YANDE",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "814-371-3304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "002004739",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Miller, OTR/L
• Melissa Miller, RN
• Melissa Wingard Miller, C.R.N.P.
• Keith D. Milliron, O.D.
• Mary Kathryn Mills, FNP-C
• Mir-Raj Productions, Inc
• Susan M. Mitchell, CRNP
• Gay M Mix, MA
• Deborah L Moate, LPN
• John Joseph Mocik, LSW

• Family Medicine Physician in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.