Provider Demographics
NPI:1326368481
Name:RAY J BEGAY MD INC
Entity Type:Organization
Organization Name:RAY J BEGAY MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEGAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-259-0352
Mailing Address - Street 1:PO BOX 4159
Mailing Address - Street 2:
Mailing Address - City:LEITCHFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42755-4159
Mailing Address - Country:US
Mailing Address - Phone:270-259-0352
Mailing Address - Fax:270-287-0157
Practice Address - Street 1:400 MILL ST
Practice Address - Street 2:
Practice Address - City:LEITCHFIELD
Practice Address - State:KY
Practice Address - Zip Code:42754-1512
Practice Address - Country:US
Practice Address - Phone:270-259-0352
Practice Address - Fax:270-287-0157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY34602207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty