DR. SRIJANA RAI


Address: 803 S Main St Ste 210, Moscow, ID 83843
Phone: 5092281000

DR. SRIJANA RAI (NPI# 1093144222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093144222
Entity Type Individual
Full Name DR. SRIJANA RAI
Credential MD
Practice Address 803 S Main St Ste 210
Moscow
ID 83843
Mailing Address 1204 N Vercler Rd
Spokane Valley
WA 99216-1020
Practice Telephone 5092281000
Practice Fax Number 5092529300
Mailing Telephone 5092281000
Mailing Fax Number 5092529300
Enumeration Date 2013-11-07
Last Update Date 2020-06-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
M-14484 ID Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
803 S Main St Ste 210, Moscow, ID 83843 2086695800
803 S Main St Ste 210, Moscow, ID 83843 5092281000 5092529300

Office Location

Street Address 803 S MAIN ST STE 210
City MOSCOW
State ID
Zip Code 83843

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245306760 David B Wait Psychiatry & Neurology 803 S Main St Ste 210, Moscow, ID 83843 2006-11-27
1164905865 Rachel Ensley Physician Assistant 803 S Main St Ste 210, Moscow, ID 83843-2695 2018-09-10
1235626474 Gritman Medical Center Inc Psychiatry & Neurology 803 S Main St Ste 210, Moscow, ID 83843-2695 2018-04-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033726880 Moscow Physical Therapy, LLC Clinic/Center 1174 Alturas Drive, Suite 2, Moscow, ID 83843 2020-09-25
1831703057 Hydee Flishaw Tubbs Becker Dietitian, Registered 614 North Hayes Street, Moscow, ID 83843 2020-09-04
1528626959 Ryan Steven Clark Student in an Organized Health Care Education/Training Program 212 Farm Road, #201, Moscow, ID 83843 2019-05-31
1770141384 Lingwen Zhang Specialist/Technologist 901 Paradise Creek Rd, Moscow, ID 83843 2019-05-30
1306363478 Elizabeth Campbell Dietitian, Registered 611 S. Main, Moscow, ID 83843 2017-08-29
1598285496 Gina Cretser Counselor 212 Rodeo Dr. #410, Moscow, ID 83843 2017-06-21
1124558721 Morgan Leigh Derloshon Specialist/Technologist 275 Southview Ave, Apt 206, Moscow, ID 83843 2017-06-15
1619411790 Kaylene Howard Massage Therapist 127 South Washington, Suite 6, Moscow, ID 83843 2016-12-08
1407237043 Jacob Kent Christensen Family Medicine 831 S Ash St, Moscow, ID 83843 2015-06-09
1366851388 Elisabeth Henry Pharmacist 2740 West Pullman Rd, Moscow, ID 83843 2014-08-04
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891857512 Nathan Bradley Adams Internal Medicine 2330 Desoto St, Idaho Falls, ID 83404-7570 2006-12-16
1669565669 A. Richard Miranda Internal Medicine 706 N College Rd, Suite A, Twin Falls, ID 83301-5824 2006-10-02
1528075744 Thomas J Leavitt Internal Medicine 284 Buck Run, Sagle, ID 83860 2006-08-01
1669497194 Dane J Dickson Internal Medicine 380 Walker Drive, Rexburg, ID 83440 2006-07-13
1588696538 Jonathan N Swerdloff Internal Medicine 308 E Hawaii Ave, Nampa, ID 83686-6013 2006-07-07
1508809252 Daniel E Williams Internal Medicine 1250 Idaho St, Lewiston, ID 83501-1965 2006-06-13
1871558239 Michael L Francisco Internal Medicine 651 Memorial Dr, Portneuf Cancer Center, Pocatello, ID 83201 2006-04-19
1669462362 Mountain View Hospital LLC Internal Medicine 2325 Coronado St, Idaho Falls, ID 83404-7407 2005-10-24
1952307605 David W. Ririe Internal Medicine 500 S 11th Ave Ste 100, Pocatello, ID 83201-4877 2005-06-27
1477020303 Maria Teresa Cervantes-fullmer Internal Medicine 3245 Channing Way, Idaho Falls, ID 83404-7536 2018-10-29
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Competitor

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City MOSCOW
Zip Code 83843

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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