Individual
DR. SUBRATA ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
529 S ELIZABETH ST, LIMA, OH 45804-1213
(419) 229-2223
Mailing address
1655 FOX RUN, TROY, OH 45373-9595
(937) 524-2211
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-08-1846R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9111115
—
OH
Enumeration date
07/08/2005
Last updated
07/09/2007
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