Provider Demographics
NPI:1174606016
Name:RAYAN, SUNIL S (MD)
Entity type:Individual
Prefix:
First Name:SUNIL
Middle Name:S
Last Name:RAYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:320 SANTA FE DR
Mailing Address - Street 2:STE 212
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5139
Mailing Address - Country:US
Mailing Address - Phone:760-943-0101
Mailing Address - Fax:760-274-8416
Practice Address - Street 1:320 SANTA FE DR
Practice Address - Street 2:STE 212
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5139
Practice Address - Country:US
Practice Address - Phone:760-943-0101
Practice Address - Fax:760-274-8416
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA876552086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A896550Medicaid
I06873Medicare UPIN
CA00A896550Medicaid