Individual
PRIYA SHRAVAN ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1110 HIGHLANDS PLAZA DR E STE 280, SAINT LOUIS, MO 63110-1351
(314) 273-0195
Mailing address
1110 HIGHLANDS PLAZA DR E STE 280, SAINT LOUIS, MO 63110-1351
(314) 273-0195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021014841
MO
207Q00000X
Family Medicine Physician
4301109791
MI
Other
Enumeration date
05/25/2016
Last updated
07/06/2021
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