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Individual
SOMNATH DANDAPAT ROY
Active
Individual
SOMNATH DANDAPAT ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-07-5700-R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211231
ANTHEM BCBS
OH
01
—
110227457
RAILROAD MEDICARE
OH
05
—
2135415
—
OH
05
—
2843810
—
OH
01
—
341967335
CARESOURCE
OH
01
—
36D0997547
CLIA NUMBER
OH
01
—
93370
QUAL CHOICE
OH
Enumeration date
01/18/2006
Last updated
12/01/2009
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