Provider Demographics
NPI:1487862421
Name:RAYANI, SUJANA V (MD)
Entity type:Individual
Prefix:
First Name:SUJANA
Middle Name:V
Last Name:RAYANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1999 WOODLAND HALL DR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-7212
Mailing Address - Country:US
Mailing Address - Phone:740-710-3100
Mailing Address - Fax:888-908-3968
Practice Address - Street 1:1999 WOODLAND HALL DR
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-7212
Practice Address - Country:US
Practice Address - Phone:740-710-3100
Practice Address - Fax:888-908-3968
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0938202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry