Individual
DIPES K RAY
Active
Individual
DIPES K RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MRCP
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101235920
VA
207R00000X
Internal Medicine Physician
Primary
9701854
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010155941
—
VA
01
—
129829725
TRICARE
—
01
—
173326
ANTHEM - BCBS
VA
01
—
173327
ANTHEM - SUFFOLK
VA
01
—
3342321
CIGNA
—
01
—
49-D1022562
CLIA
—
01
—
61697
OPTIMA/SENTARA
—
01
—
7687230
AETNA
—
01
—
861095408
VA HEALTH NETWORK
—
01
—
P00099937
RAILROAD MEDICARE
VA
Enumeration date
09/01/2006
Last updated
05/31/2016
Update your record
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