S D Roy Md Inc | |
125 E Broad St Suite #122 Elyria OH 44035-6400 | |
(440) 329-7350 | |
Not Available |
Full Name | S D Roy Md Inc |
---|---|
Speciality | Internal Medicine |
Location | 125 E Broad St, Elyria, Ohio |
Authorized Official Name and Position | Somnath Roy (PRESIDENT) |
Authorized Official Contact | 4403297350 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
S D Roy Md Inc 125 E Broad St Suite #122 Elyria OH 44035-6400 Ph: (440) 329-7350 | S D Roy Md Inc 125 E Broad St Suite #122 Elyria OH 44035-6400 Ph: (440) 329-7350 |
NPI Number | 1891841086 |
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Provider Enumeration Date | 01/28/2007 |
Last Update Date | 12/01/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891841086 | NPI | - | NPPES |
2843810 | Medicaid | OH | |
2135415 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35075700 (Ohio) | Primary |
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