Provider Demographics
NPI:1700891009
Name:RAY, ALAK (MD)
Entity type:Individual
Prefix:
First Name:ALAK
Middle Name:
Last Name:RAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 NORTH LOOP WEST, STE. 460
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1500
Mailing Address - Country:US
Mailing Address - Phone:713-864-6100
Mailing Address - Fax:713-864-1755
Practice Address - Street 1:1631 NORTH LOOP W
Practice Address - Street 2:#460
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1500
Practice Address - Country:US
Practice Address - Phone:713-864-6100
Practice Address - Fax:713-864-1755
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7868207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098667107Medicaid
C20889Medicare UPIN
TX00GX28Medicare ID - Type Unspecified