Individual
DR. ROY MULJADI SOETIKNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2490 HOSPITAL DR STE 211, MOUNTAIN VIEW, CA 94040-4125
(650) 492-3384
(650) 963-3535
Mailing address
2490 HOSPITAL DR STE 211, MOUNTAIN VIEW, CA 94040-4125
(650) 492-3384
(650) 963-3535
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G76556
CA
Other
Enumeration date
08/31/2006
Last updated
04/14/2020
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