Organization
PREMIER PRIMARY CARE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIPES K RAY M.D. (M.D.)
(757) 410-8745
Entity
Organization
Contact information
Practice address
113 GAINSBOROUGH SQ STE 201, CHESAPEAKE, VA 23320-1714
(757) 410-8745
(757) 410-8746
Mailing address
113 GAINSBOROUGH SQ STE 201, CHESAPEAKE, VA 23320-1714
(757) 410-8745
(757) 410-8746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H82305
VA
207R00000X
Internal Medicine Physician
Primary
G66860
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007777515
AETNA
—
01
—
1109507
FIRST HEALTH
—
01
—
114879 / 114964
ANTHEM
—
01
—
173326 / 173327
ANTHEM
—
01
—
2182480
FIRST HEALTH
—
01
—
3342321
CIGNA
—
01
—
70343
OPTIMA
—
01
—
7596518
CIGNA
—
01
—
7687230
AETNA
—
01
—
91697
OPTIMA
—
01
—
P00099937
RAILROAD MEDICARE
VA
Enumeration date
09/14/2006
Last updated
04/20/2008
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