Organization
TAPAN ROY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAPAN ROY MD (MEDICAL DIRECTOR)
(314) 504-2009
Entity
Organization
Contact information
Practice address
14662 NEWPORT AVE, TUSTIN, CA 92780-6064
(714) 573-9500
Mailing address
7330 HICKORYWOOD LN, PLEASANTON, CA 94566-3584
(314) 504-2009
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
R4B37
MO
2085R0203X
Therapeutic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201528106
—
MO
01
—
R4B37
MISSOURI PROFESSIONAL LIC
MO
Enumeration date
07/19/2007
Last updated
08/23/2021
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