Individual
DR. TAPAN ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Primary
C51244
CA
2085R0001X
Radiation Oncology Physician
R4B37
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165953
BLUE CROSS PROVIDER ID
MO
05
—
201528114
—
MO
01
—
483437
HEALTHLINK PROVIDER ID
MO
Enumeration date
06/17/2005
Last updated
01/17/2022
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