Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 054773 | CT |
N | 111NI0900X | Internist | 054773 | CT |
N | 207R00000X | Internist | MD-47427 | IA |
N | 111NI0900X | Internist | MD-47427 | IA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD-47427 | IA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD-47427 | IA |
NPI | 1598022626 |
---|---|
Provider Name | Dr. Michael Caranay Viray |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2012 |
Last Update Date | 16/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
390200000X | ST. VINCENT'S MEDICAL CENTER (01) | CT |