Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 036126685 | IL |
N | 2086X0206X | Surgical Oncologist | A106357 | CA |
NPI | 1437313855 |
---|---|
Provider Name | Dr. Partha S Ray |
First Address | Urbana, IL 61801-2500 |
Second Address | Urbana, IL 61801-1645 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2008 |
Last Update Date | 18/06/2015 |