MEDICARE: DR. PRIANKA 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
1	207RH0003X	Hematology & Oncology Physician	MD464107	PA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1407264153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRIANKA RAY MD

Provider Business Mailing Address
First Line	:	4300 LONDONDERRY RD STE 302
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17109-5317
Country	:	US
Telephone Number	:	717-724-6780
Fax Number	:	717-724-6781

Provider Business Practice Location Address
First Line	:	4300 LONDONDERRY RD STE 302
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17109-5317
Country	:	US
Telephone Number	:	717-724-6780
Fax Number	:	717-724-6781

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

Provider Enumeration Date	:	07/25/2014
Last Update Date	:	01/22/2026

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