Provider Demographics
NPI:1437171295
Name:PAIS, RAY CARL (MD)
Entity Type:Individual
Prefix:
First Name:RAY
Middle Name:CARL
Last Name:PAIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 15010
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37901-5010
Mailing Address - Country:US
Mailing Address - Phone:865-541-8187
Mailing Address - Fax:865-541-8286
Practice Address - Street 1:2018 CLINCH AVENUE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-2301
Practice Address - Country:US
Practice Address - Phone:865-541-8266
Practice Address - Fax:865-541-8553
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2022-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN214892080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ09866Medicaid
TN3066746Medicaid
TN3028598OtherBLUE CROSS BLUE SHIELD
KY64799372OtherMEDICAID
TN3028598OtherTENNCARE SELECT
F02895Medicare UPIN