Provider Demographics
NPI:1437686318
Name:DULAY, RASNIK KAUR (MD)
Entity type:Individual
Prefix:
First Name:RASNIK
Middle Name:KAUR
Last Name:DULAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RASNIK
Other - Middle Name:KAUR
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 AMERICAN WAY NE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-5531
Mailing Address - Country:US
Mailing Address - Phone:330-856-8811
Mailing Address - Fax:
Practice Address - Street 1:1 AMERICAN WAY NE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-5531
Practice Address - Country:US
Practice Address - Phone:330-856-8811
Practice Address - Fax:330-856-8481
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-22
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA173292207N00000X
OH35.149697207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty