Individual
SABYASACHI ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-5590
(602) 406-7170
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48694
AZ
208M00000X
Hospitalist Physician
Primary
48694
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48694
LICENSE
AZ
01
—
R72911
TRAINING PERMIT
AZ
Enumeration date
08/24/2011
Last updated
12/09/2024
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