Individual
DR. SUBHRANSU KUMAR RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
365 LENNON LN STE 250, WALNUT CREEK, CA 94598-5915
(925) 943-6800
(925) 943-6880
Mailing address
365 LENNON LN STE 250, WALNUT CREEK, CA 94598-5915
(925) 265-8324
(925) 938-3697
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
G86936
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
G86936
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G869360
—
CA
Enumeration date
07/10/2006
Last updated
04/29/2021
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