Gray, Douglas L

Gray, Douglas L is an individual health care provider with primary practice located at 11108 Parkview Circle Dr Suite 5100, Fort Wayne IN 46845-1730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gray, Douglas L can be contacted via phone (260) 266-2800.

Contact Information

Primary practice address
11108 Parkview Circle Dr Suite 5100 Fort Wayne IN 46845-1730
Fax: (260) 266-2805
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01044841A Indiana

Profile Details

NPI number 1891787651
LBN Legal business name Gray, Douglas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Oct 7th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891787651 NPPES
Indiana Other P00664358 RAILROAD MEDICARE
Indiana Other 060048219 RAILROAD MEDICARE
Indiana MEDICAID 200178590 RAILROAD MEDICARE
Indiana Other 000000595620 RAILROAD MEDICARE

Popular Providers