Individual
DR. KANAK ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 S INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23453-4776
(757) 471-3100
(757) 471-3624
Mailing address
204 58TH ST, VIRGINIA BEACH, VA 23451-2203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101033666
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5605962
—
VA
Enumeration date
09/27/2006
Last updated
07/14/2010
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