Provider Demographics
NPI:1922050079
Name:RAY, SUNITA GOYLE (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNITA
Middle Name:GOYLE
Last Name:RAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUNITA
Other - Middle Name:
Other - Last Name:GOYAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-6040
Mailing Address - Fax:717-461-7122
Practice Address - Street 1:380 SAINT CHARLES WAY
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4647
Practice Address - Country:US
Practice Address - Phone:717-851-6040
Practice Address - Fax:717-461-7122
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD447824207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2887425OtherHIGHMARK BLUE SHIELD
PA1622983OtherGATEWAY
PA30153374OtherAMERIHEALTH CARITAS PA - WMG
PAPO1810253OtherRAILROAD MEDICARE
PA420224OtherUPMC
PA102817101Medicaid
PA30153374OtherAMERIHEALTH CARITAS PA - WMG
ME432345799Medicaid
PA284237FLTMedicare PIN