Individual
KAUSHIK ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 RETREAT AVE, HARTFORD, CT 06106-3309
(860) 545-7200
Mailing address
200 RETREAT AVE, HARTFORD, CT 06106-3309
(860) 545-7200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
056652
CT
2084P0804X
Child & Adolescent Psychiatry Physician
056652
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/16/2014
Last updated
02/18/2018
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