Provider Demographics
NPI:1275632374
Name:OGRA, PEARAY L (MD)
Entity Type:Individual
Prefix:DR
First Name:PEARAY
Middle Name:L
Last Name:OGRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4511 HARLEM RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3822
Mailing Address - Country:US
Mailing Address - Phone:716-839-6720
Mailing Address - Fax:716-839-6740
Practice Address - Street 1:219 BRYANT ST
Practice Address - Street 2:INFECTIOUS DISEASE DIVISION
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-2006
Practice Address - Country:US
Practice Address - Phone:716-878-7312
Practice Address - Fax:716-888-3804
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1073782080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00020520801OtherUNIVERA
NY000505196002OtherBC/BS
NY00612524Medicaid
NY0010974925001OtherPAMEDICAID
NY1290558OtherIHA
NY0010974925001OtherPAMEDICAID
NY1290558OtherIHA