Individual
DR. INDRANILL BASU RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
6005 PARK AVE STE 500B, MEMPHIS, TN 38119
(901) 683-6925
Mailing address
10100 KANIS RD, LITTLE ROCK, AR 72205-6202
(501) 255-6000
(501) 255-6400
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
57891
TN
207RI0011X
Interventional Cardiology Physician
57891
TN
Other
Enumeration date
08/12/2009
Last updated
02/05/2021
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