Individual
SHUBHRA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2350 FREEDOM WAY, STE 202, YORK, PA 17402-8200
(717) 851-2465
(717) 741-3043
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-2465
(717) 741-3043
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
12712
NH
207RP1001X
Pulmonary Disease Physician
Primary
12712
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102782463
—
PA
01
—
1618222
GATEWAY
PA
01
—
2792770
HIGHMARK BLUE SHIELD
PA
01
—
30142123
AMERIHEALTH MERCY - WMG
PA
05
—
30205670
—
NH
01
—
419613
UPMC
PA
05
—
432014999
—
ME
01
—
P00625038
RR MEDICARE
NH
Enumeration date
06/03/2006
Last updated
02/21/2014
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