| Ratus Pllc | |
|
2321 E Gala St Ste 3 Meridian ID 83642-7692 | |
| (208) 288-2280 | |
| (208) 288-1544 |
| Full Name | Ratus Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2321 E Gala St Ste 3, Meridian, Idaho |
| Authorized Official Name and Position | Olurotimi A Ashaye (PRESIDENT) |
| Authorized Official Contact | 2082882280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ratus Pllc Po Box 4162 Boise ID 83711-4162 Ph: (208) 323-9130 | Ratus Pllc 2321 E Gala St Ste 3 Meridian ID 83642-7692 Ph: (208) 288-2280 |
| NPI Number | 1164563805 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Medicare PECOS PAC ID | 7012009525 |
|---|---|
| Medicare Enrollment ID | O20071120000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164563805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Olurotimi A Ashaye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649208315 PECOS PAC ID: 0648161356 Enrollment ID: I20040323000336 |
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