Roy, Praveen

Roy, Praveen is an individual health care provider with primary practice located at 2841 Debarr Rd Ste 50 , Anchorage AK 99508-2945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Roy, Praveen can be contacted via phone (907) 276-2811.

Contact Information

Primary practice address
2841 Debarr Rd Ste 50 Anchorage AK 99508-2945
Phone: (907) 276-2811
Fax: (907) 276-2810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2006017171 Missouri
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD.203593 Louisiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 55751 Wisconsin

Profile Details

NPI number 1215958459
LBN Legal business name Roy, Praveen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Sep 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215958459 NPPES
Missouri Other P00342850 RR MEDICARE
Missouri Other 209956 RR MEDICARE
Missouri MEDICAID 201151206 RR MEDICARE
Missouri MEDICAID 2110187 RR MEDICARE
Missouri MEDICAID 00531049 RR MEDICARE
Missouri Other 753815 RR MEDICARE
Missouri Other P00420900 RR MEDICARE

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