# SRI RAYANI LLC

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

## Provider details

- **NPI number:** 1700134095
- **Authorized official:** SUJANA RAYANI MD (MEMBER)
- **Authorized official phone:** (740) 710-3100

## Contact information

- **Practice address:** 462 PINEVIEW DR, GALLIPOLIS, OH 45631-9038
- **Practice address phone:** (740) 710-3100
- **Mailing address:** 462 PINEVIEW DR, GALLIPOLIS, OH 45631-9038
- **Mailing address phone:** (740) 710-3100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0805X | Geriatric Psychiatry Physician | 35093820 | OH | Yes |

## Other

- **Enumeration date:** 08/17/2012
- **Last updated:** 08/17/2012