Individual
ERIK SANDHU RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 739-5642
(920) 202-8236
Mailing address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 739-5642
(920) 202-8236
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
67407-20
WI
2085R0202X
Diagnostic Radiology Physician
MD60020359
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091880
—
WA
01
—
292190
L&I PROVIDER ID
WA
01
—
292192
L&I PROVIDER ID
WA
01
—
292196
L&I PROVIDER ID
WA
Enumeration date
09/27/2007
Last updated
09/11/2018
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