Individual
PRANAB RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11950 COUNTY ROAD 101, SUITE 105, THE VILLAGES, FL 32162-9332
(352) 391-6190
(352) 391-6199
Mailing address
401 MANATEE AVE E, BRADENTON, FL 34208-1131
(941) 807-6166
(941) 748-7878
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME31891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049060100
—
FL
05
—
49060102
—
FL
01
—
P00422380
RAILROAD MEDICARE
—
Enumeration date
02/23/2006
Last updated
03/19/2012
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