Provider Demographics
NPI:1306431697
Name:ALRAY DIRECT GYNECOLOGY AND INTIMATE HEALTH CENTER, PLLC
Entity type:Organization
Organization Name:ALRAY DIRECT GYNECOLOGY AND INTIMATE HEALTH CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHINDANOOR
Authorized Official - Middle Name:V
Authorized Official - Last Name:RAJESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-491-9035
Mailing Address - Street 1:4002 BARRETT DR STE 104
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6618
Mailing Address - Country:US
Mailing Address - Phone:984-212-3686
Mailing Address - Fax:
Practice Address - Street 1:4002 BARRETT DR STE 104
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6618
Practice Address - Country:US
Practice Address - Phone:984-212-3686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty