Provider Demographics
NPI:1598727919
Name:RAY, VERA HLAING (MD)
Entity Type:Individual
Prefix:
First Name:VERA
Middle Name:HLAING
Last Name:RAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VERA
Other - Middle Name:
Other - Last Name:HLAING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:500 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-2400
Mailing Address - Country:US
Mailing Address - Phone:312-272-2151
Mailing Address - Fax:312-572-2135
Practice Address - Street 1:500 E 51ST ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-2400
Practice Address - Country:US
Practice Address - Phone:312-272-2151
Practice Address - Fax:312-572-2135
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3646932207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIE85999Medicare UPIN