Individual
DR. RICHARD IAN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
865 JEFFERSON AVE # F150, UTHSC DEPT. OF RADIOLOGY, MEMPHIS, TN 38103-2807
(901) 448-4454
Mailing address
865 JEFFERSON AVE # F150, UTHSC DEPT. OF RADIOLOGY, MEMPHIS, TN 38103-2807
(901) 448-4454
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
097447
OH
2085N0700X
Neuroradiology Physician
Primary
48192
TN
2085R0202X
Diagnostic Radiology Physician
097447
OH
2085R0202X
Diagnostic Radiology Physician
42942
AZ
2085R0202X
Diagnostic Radiology Physician
48192
TN
2085R0202X
Diagnostic Radiology Physician
E-5928
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521835
—
AZ
01
—
Z137901
MEDICARE
—
Enumeration date
04/10/2007
Last updated
09/18/2013
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