Individual
DR. ANAND KRISHNALAL ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
760 EAST BAYOU PINES, LAKE CHARLES, LA 70601-7184
(337) 433-0313
(337) 433-0554
Mailing address
760 EAST BAYOU PINES, LAKE CHARLES, LA 70601-7184
(337) 433-0313
(337) 433-0554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10341 R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10341R
STATE LICENSE
LA
05
—
1989614
—
LA
01
—
49589780107
ME
LA
Enumeration date
11/18/2005
Last updated
07/08/2007
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