| Erik Sandhu Ray, MD | |
|
2500 E Capitol Dr, Appleton, WI 54911-8735 | |
| (920) 739-5642 | |
| (920) 202-8236 |
| Full Name | Erik Sandhu Ray |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 24 Years |
| Location | 2500 E Capitol Dr, Appleton, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477740009 | NPI | - | NPPES |
| 292190 | Other | WA | L&I PROVIDER ID |
| 292196 | Other | WA | L&I PROVIDER ID |
| 1091880 | Medicaid | WA | |
| 292192 | Other | WA | L&I PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD60020359 (Washington) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 67407-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Western Regional Medical Center | Goodyear, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| City Of Hope Medical Group Of Arizona Llc | 2264593474 | 119 |
| Entity Name | City Of Hope Medical Group Of Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609026806 PECOS PAC ID: 2264593474 Enrollment ID: O20081205000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Erik Sandhu Ray, MD 2500 E Capitol Dr, Appleton, WI 54911-8735 Ph: (920) 739-5642 | Erik Sandhu Ray, MD 2500 E Capitol Dr, Appleton, WI 54911-8735 Ph: (920) 739-5642 |
Stephanus J Macrander, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-739-5642 Fax: 920-968-0259 | |
Sara Elizabeth Beltran Ponce, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-831-8900 Fax: 920-831-1320 | |
Maher Salahi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-739-5642 | |
Kristin Knott, Radiology Medicare: Not Enrolled in Medicare Practice Location: 5471 W Waterford Ln, Appleton, WI 54913 Phone: 920-731-7445 | |
Anna Moreland, Radiology Medicare: Accepting Medicare Assignments Practice Location: 424 E Pacific St, Appleton, WI 54911 Phone: 920-475-1201 | |
Stephen M. Bejvan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-739-5642 Fax: 920-968-0259 | |
Keyvan Gharabeighlou, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-739-5642 Fax: 920-968-0259 |