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NPI Code Detail

MEDICARE: SUSAN RAY MD

MEDICARE:   SUSAN  RAY  MD
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
1207RN0300XNephrology Physician35053139ROH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1130016751OTHEROHRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275535106
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN RAY MD
Provider Business Mailing Address
First Line : 411 E MARKET ST
Second Line :
City : AKRON
State : OH
Zip : 44304-1542
Country : US
Telephone Number : 330-252-0600
Fax Number : 330-252-0700
Provider Business Practice Location Address
First Line : 411 E MARKET ST
Second Line :
City : AKRON
State : OH
Zip : 44304-1542
Country : US
Telephone Number : 330-252-0600
Fax Number : 330-252-0700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 11/08/2007

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Directions to “ SUSAN RAY MD” Practice Location

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