Provider Demographics
NPI:1235102682
Name:RUFF, PAUL GRAY IV (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:GRAY
Last Name:RUFF
Suffix:IV
Gender:M
Credentials:MD, FACS
Other - Prefix:
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Mailing Address - Street 1:2440 M ST NW
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1404
Mailing Address - Country:US
Mailing Address - Phone:202-785-4187
Mailing Address - Fax:202-785-1370
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE 200
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1404
Practice Address - Country:US
Practice Address - Phone:202-785-4187
Practice Address - Fax:202-785-1370
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2014-02-06
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Provider Licenses
StateLicense IDTaxonomies
DCMD30585208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC025545200Medicaid
DC435400100Medicaid
DC007605S79Medicare PIN
DCH13640Medicare UPIN