Provider Demographics
NPI:1780608901
Name:ATRAY, NAVEEN KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:NAVEEN
Middle Name:KUMAR
Last Name:ATRAY
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 1:777 CAMPUS COMMONS RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-8309
Mailing Address - Country:US
Mailing Address - Phone:916-929-8564
Mailing Address - Fax:916-929-4529
Practice Address - Street 1:1111 EXPOSITION BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4314
Practice Address - Country:US
Practice Address - Phone:916-564-6232
Practice Address - Fax:916-564-6242
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00402092OtherRAILROAD MEDICARE
CAGR0015060Medicaid
CAZZZ92828ZMedicare PIN
P00402092OtherRAILROAD MEDICARE