Individual
DEBABRATA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 MADISON AVE, GRANITE CITY, IL 62040-4701
(618) 798-3000
(618) 798-3885
Mailing address
2144 BROOK HILL CT, CHESTERFIELD, MO 63017-7941
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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