Individual
DR. DEBORSHI ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8241 ROCHESTER AVE 130, RANCHO CUCAMONGA, CA 91730-0713
(909) 466-8400
Mailing address
PO BOX 77365, CORONA, CA 92877-0112
(909) 466-8400
(909) 880-1102
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2286241
NY
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
C54320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228624
LICENSE
NY
Enumeration date
03/30/2007
Last updated
08/26/2015
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