Individual
DIPANKAR ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 720-8695
Mailing address
6178 SILVER ARROWS WAY, COLUMBIA, MD 21045-7411
(914) 374-6622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D79926
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2012
Last updated
12/16/2015
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