Provider Demographics
NPI:1104887009
Name:ARMAND, RAY (MD)
Entity type:Individual
Prefix:
First Name:RAY
Middle Name:
Last Name:ARMAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 N CLAYTON ST STE 301 MSB
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3165
Mailing Address - Country:US
Mailing Address - Phone:302-575-8103
Mailing Address - Fax:302-575-8144
Practice Address - Street 1:701 N CLAYTON ST STE 301 MSB
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805
Practice Address - Country:US
Practice Address - Phone:302-575-8103
Practice Address - Fax:302-575-8144
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9076207ZH0000X, 207ZP0102X
PAMD461174207ZP0102X
DEC10012213207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX17937501Medicaid
8D9178Medicare ID - Type Unspecified
I40495Medicare UPIN