Gray, David P.
Gray, David P. is an individual health care provider with primary practice located at 115 W 19Th St , Indianapolis IN 46202-1310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gray, David P. can be contacted via phone (317) 924-4022.Contact Information
Primary practice address
115 W 19Th St
Indianapolis IN 46202-1310
Phone: (317) 924-4022
Fax: (317) 924-4233
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 010372269A | Indiana |
Profile Details
NPI number | 1891767802 |
---|---|
LBN Legal business name | Gray, David P. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 2006 |
Last updated | Jul 3rd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891767802 | NPPES |
Indiana | Other | 000000084980 | ANTHEM PIN (ICCC) |
Indiana | MEDICAID | 100261760A | ANTHEM PIN (ICCC) |
Indiana | MEDICAID | 64873433 | ANTHEM PIN (ICCC) |
Indiana | Other | 2245012 | ANTHEM PIN (ICCC) |
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