Individual
DR. RAY A HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 W MCKENZIE RD, SUITE H, GREENFIELD, IN 46140-3084
(317) 462-2335
(317) 462-2069
Mailing address
PO BOX 129, GREENFIELD, IN 46140-0129
(317) 468-6270
(317) 468-6268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01022756
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000599948
ANTHEM #
—
05
—
100127390A
—
IN
01
—
200311740G
MEDICAID GROUP NUMBER
IN
Enumeration date
06/15/2006
Last updated
01/20/2011
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