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NPI Code Detail

MEDICARE: ASOK KUMAR ROY MD

MEDICARE:   ASOK KUMAR ROY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician31786MI
2207RA0401XAddiction Medicine (Internal Medicine) Physician31786MI
3207RC0000XCardiovascular Disease Physician31786MI
4207RG0100XGastroenterology Physician31786MI
5207RG0300XGeriatric Medicine (Internal Medicine) Physician31786MI
6207RG0300XGeriatric Medicine (Internal Medicine) PhysicianME99452FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598868069
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASOK KUMAR ROY MD
Provider Business Mailing Address
First Line : PO BOX 17577
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32245-7577
Country : US
Telephone Number : 904-399-1623
Fax Number : 904-399-1624
Provider Business Practice Location Address
First Line : 3720 BEACH BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-3814
Country : US
Telephone Number : 904-399-1623
Fax Number : 904-399-1624
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 07/24/2014

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Directions to “ ASOK KUMAR ROY MD” Practice Location

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