Individual
DIPES K RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MRCP
Contact information
Practice address
446 CARATOKE HWY, MOYOCK, NC 27958-8672
(252) 435-1275
(855) 348-4480
Mailing address
446 CARATOKE HWY, MOYOCK, NC 27958-8672
(252) 435-1275
(855) 348-4480
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
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