Sitesh Ranen Roy
Pediatric Allergist
2500 N State St
Jackson
, Mississippi 39216-4500
Sitesh Ranen Roy
Pediatric Allergist
2500 N State St
Jackson
, Mississippi 39216-4500
(601) 984-5249
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About
Features
Specialties
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Sitesh Ranen Roy
- 2500 N State St
- Jackson, MS
- Zip : 39216-4500
- Phone : (601) 984-5249
Second Address
- Sitesh Ranen Roy
- 2500 N State St
- Jackson, MS
- Zip : 39216-4500
- Phone : (601) 984-5249
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0201X | Pediatric Allergist | 17714 | MS |
National Provider Identifier
| NPI | 1033219068 |
|---|---|
| Provider Name | Sitesh Ranen Roy |
| First Address | Jackson, MS 39216-4500 |
| Second Address | Jackson, MS 39216-4500 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2006 |
| Last Update Date | 17/11/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0126077 | (05) | MS |
| 1127191 | (05) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.