Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 0101266022 | VA |
NPI | 1053728857 |
---|---|
Provider Name | Sasmit Roy |
First Address | Lynchburg, VA 24501-1428 |
Second Address | Lynchburg, VA 24501-1428 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2014 |
Last Update Date | 16/12/2020 |