MEDICARE: DR. CHAYA DEVI RAY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	199969	PA
2	207Q00000X	Family Medicine Physician	257983	MA

General Provider Information

NPI Number	:	1679853139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAYA DEVI RAY M.D.

Provider Business Mailing Address
First Line	:	5 E MAIN ST
Second Line	:	LAHEY MERRIMAC
City	:	MERRIMAC
State	:	MA
Zip	:	01860-2005
Country	:	US
Telephone Number	:	978-346-9733
Fax Number	:	978-346-9762

Provider Business Practice Location Address
First Line	:	5 E MAIN ST
Second Line	:	LAHEY MERRIMAC
City	:	MERRIMAC
State	:	MA
Zip	:	01860-2005
Country	:	US
Telephone Number	:	978-346-9733
Fax Number	:	978-346-9762

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2011
Last Update Date	:	10/06/2014

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