Individual
DR. PRAKASH N ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
807 SOUTHWESTERN RUN, POLAND, OH 44514-3688
(330) 729-0059
(330) 729-9297
Mailing address
807 SOUTHWESTERN RUN, POLAND, OH 44514-3688
(330) 729-0059
(330) 729-9297
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35-090547
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91175934813
—
NE
Enumeration date
05/08/2006
Last updated
10/21/2014
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