Provider Demographics
NPI:1114300209
Name:RAYOS, KAREN ANN P (MD)
Entity Type:Individual
Prefix:MS
First Name:KAREN ANN
Middle Name:P
Last Name:RAYOS
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 577197
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95357-7197
Mailing Address - Country:US
Mailing Address - Phone:209-558-7248
Mailing Address - Fax:
Practice Address - Street 1:2116 E ORANGEBURG AVE
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-3370
Practice Address - Country:US
Practice Address - Phone:098-503-5002
Practice Address - Fax:808-974-4746
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA158600207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine