Provider Demographics
NPI:1124280615
Name:GRAY, CARL RALPH (MD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:RALPH
Last Name:GRAY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6000 EXECUTIVE BLVD
Mailing Address - Street 2:SUITE 605
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3820
Mailing Address - Country:US
Mailing Address - Phone:301-881-1488
Mailing Address - Fax:301-881-8515
Practice Address - Street 1:6000 EXECUTIVE BLVD
Practice Address - Street 2:SUITE 605
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3820
Practice Address - Country:US
Practice Address - Phone:301-881-1488
Practice Address - Fax:301-881-8515
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
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Provider Licenses
StateLicense IDTaxonomies
MDD00163052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry