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Individual

MITA RAHEJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD FACC

Contact information

Practice address
3622 BELMONT AVE, SUITES 11 AND 12, YOUNGSTOWN, OH 44505-1450
(330) 759-8169
(330) 759-8306
Mailing address
PO BOX 6855, YOUNGSTOWN, OH 44501-6855
(330) 759-8169
(330) 759-8306

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35065143
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000104933
UNISON HEALTH PLAN
01
000000205226
ANTHEM BLUE CROSS AND BLUE SHIELD
OH
05
0964774
OH
01
110228843
RAILROAD MEDICARE
01
1542907
GATEWAY HEALTH PLAN OF OHIO
OH
01
1542907
AETNA
01
2500890
UNITEDHEALTHCARE
01
341949665027
CARESOURCE
Enumeration date
12/08/2005
Last updated
06/04/2008
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