Provider Demographics
NPI:1306836218
Name:RAY, HOWARD C (MD)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:C
Last Name:RAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3387 S US HIGHWAY 41
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-3727
Mailing Address - Country:US
Mailing Address - Phone:812-232-5532
Mailing Address - Fax:812-232-2574
Practice Address - Street 1:3387 S US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-3727
Practice Address - Country:US
Practice Address - Phone:812-232-5532
Practice Address - Fax:812-232-2574
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01031160A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
856690AMedicare ID - Type Unspecified
D95074Medicare UPIN