Provider Demographics
NPI:1154371003
Name:RAY, ADAM D (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:D
Last Name:RAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 43100
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85733-3100
Mailing Address - Country:US
Mailing Address - Phone:520-675-7599
Mailing Address - Fax:520-482-0350
Practice Address - Street 1:2120 W INA RD STE 100
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-5501
Practice Address - Country:US
Practice Address - Phone:520-675-7599
Practice Address - Fax:520-482-0350
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ34984207YX0602X, 174400000X, 2085R0202X, 2085U0001X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
No174400000XOther Service ProvidersSpecialist
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ103550Medicaid
AZ34984OtherSTATE LICENSE
AZ34984OtherSTATE LICENSE
AZZ116950Medicare PIN