Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 57.024251 | OH |
N | 111NI0900X | Internist | 57.024251 | OH |
Y | 207W00000X | Ophthalmologist | A174875 | CA |
N | 207W00000X | Ophthalmologist | MD464320 | PA |
NPI | 1033538350 |
---|---|
Provider Name | Dr. Iga N Gray |
First Address | Pasadena, CA 91188-0001 |
Second Address | Philadelphia, PA 19134-5104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 10/02/2022 |