Provider Demographics
NPI:1801098678
Name:RAY, AARON MARTIN (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:MARTIN
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 1:5923 PRAIRIE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-5976
Mailing Address - Country:US
Mailing Address - Phone:317-491-2586
Mailing Address - Fax:
Practice Address - Street 1:METHODIST HOSPITAL, ROOM B401, I-65 AT 21ST STREET
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46206
Practice Address - Country:US
Practice Address - Phone:317-312-0207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01062432A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine