Individual
DR. BHOLA NATH ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
609 WASHINGTON AVE, BRIDGEVILLE, PA 15017-2060
(412) 257-1836
(412) 257-1837
Mailing address
3523 CHRISMAR CT, BRIDGEVILLE, PA 15017-1197
(412) 257-1836
(412) 257-1837
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 420560
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019157310009
—
PA
01
—
1453897
BLUE CROSS / BLUE SHIELD
PW
01
—
155024
MEDPLUS
PA
01
—
200907216
CIGNA
PA
01
—
204164
FEDERAL BLACK LUNG
PA
01
—
239019
HEALTHAMERICA
PA
01
—
312289
UPMC HEALTHPLAN
PA
01
—
3610955
AETNA HMO
PA
01
—
7945570
AETNA NON HMO
PA
01
—
P00144641
RAILROAD MEDICARE
PW
01
—
P006301
GATEWAY HEALTH PLAN
PA
Enumeration date
03/24/2006
Last updated
09/05/2012
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