# RANADA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245772375
- **Authorized official:** MISS SENIKA RANADA CHANNELS (OWNER)
- **Authorized official phone:** (614) 506-2494

## Contact information

- **Practice address:** 17 VANDERBILT DRIVE APT G, FAIRBORN, OH 45324
- **Practice address phone:** (614) 506-2494
- **Mailing address:** PO BOX 681, SPRINGFIELD, OH 45501
- **Mailing address phone:** (614) 506-2494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 2357920 | OH | Yes |
| 302R00000X | Health Maintenance Organization | 2357920 | OH | — |

## Other

- **Enumeration date:** 11/07/2016
- **Last updated:** 11/07/2016