Healthcare Provider Details

I. General information

NPI: 1972681047
Provider Name (Legal Business Name): RAMIN A. ROYAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10121 PINE AVE
TRUCKEE CA
96161-4835
US

IV. Provider business mailing address

10121 PINE AVE
TRUCKEE CA
96161-4835
US

V. Phone/Fax

Practice location:
  • Phone: 530-582-6492
  • Fax:
Mailing address:
  • Phone: 530-582-6492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberG84507
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: