Individual
PRIYA P ROY
Active
Individual
PRIYA P ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047089
CT
208M00000X
Hospitalist Physician
047089
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012114140005
—
PA
01
—
1544939
GATEWAY HEALTH PLAN
—
01
—
1596801
HIGHMARK BLUE SHIELD
—
01
—
184635
UNISON
—
01
—
20051965
AMERIHEALTH MERCY
—
01
—
2274055000
IBC
—
01
—
50059750
CBC
—
Enumeration date
06/10/2006
Last updated
05/09/2013
Update your record
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