Individual
SULEKHA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
113 GAINSBOROUGH SQ STE 201, CHESAPEAKE, VA 23320-1714
(757) 410-8745
(757) 410-8746
Mailing address
113 GAINSBOROUGH SQ STE 201, CHESAPEAKE, VA 23320-1714
(757) 410-8745
(757) 410-8746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
861095408
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007777515
AETNA
—
05
—
010057256
—
VA
01
—
1109507
FIRST HEALTH
—
01
—
114879
ANTHEM - BCBS
VA
01
—
114964
ANTHEM - SUFFOLK
VA
01
—
49D1022562
CLIA
—
01
—
70343
OPTIMA/SENTARA
—
01
—
7596518
CIGNA
—
01
—
861095408
VA HEALTH NETWORK
—
01
—
P00099937
RAILROAD MEDICARE
VA
Enumeration date
09/01/2006
Last updated
02/05/2008
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