# RAYN HEALTHCARE ALLIANCE IPA, LLC

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

## Provider details

- **NPI number:** 1821310277
- **Authorized official:** FARRUKH KHWAJA (MANAGING MEMBER)
- **Authorized official phone:** (516) 458-7898

## Contact information

- **Practice address:** 1979 MARCUS AVE, STE 210, NEW HYDE PARK, NY 11042-1076
- **Practice address phone:** (516) 622-2326
- **Practice address fax:** (516) 452-5840
- **Mailing address:** 1979 MARCUS AVE, STE 210, NEW HYDE PARK, NY 11042-1076
- **Mailing address phone:** (516) 622-2326
- **Mailing address fax:** (516) 452-5840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 02/25/2010
- **Last updated:** 12/19/2014