All Medicaid billing entities listing RAYATHATHA, SANJAY (MEMBER/OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Maryland | 1 | $1K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | RIVERSIDE PHARMACY LLC | SALISBURY, MD | Pharmacy | $1K |