Provider Demographics
NPI:1336342997
Name:RAY KO, EMILY E (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:E
Last Name:RAY KO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:E
Other - Last Name:RAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4103 GRACEVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-1684
Mailing Address - Country:US
Mailing Address - Phone:206-240-3764
Mailing Address - Fax:
Practice Address - Street 1:4103 GRACEVIEW WAY
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-1684
Practice Address - Country:US
Practice Address - Phone:206-240-3764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60166435208M00000X
NC2012-01967208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist