Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301087898 | MI |
N | 111NI0900X | Internist | 4301087898 | MI |
N | 207RH0000X | Hematologist | 4301087898 | MI |
Y | 207RX0202X | Medical Oncology | 35.120323 | OH |
N | 207RX0202X | Medical Oncology | 4301087898 | MI |
NPI | 1043332190 |
---|---|
Provider Name | Sameek Roychowdhury |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210-1240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 04/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0076600 | (05) | OH |