Healthcare Provider Details

I. General information

NPI: 1467657700
Provider Name (Legal Business Name): ANITA ROY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANITA DESAI MD

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UPPER CHESAPEAKE DR
BEL AIR MD
21014-4324
US

IV. Provider business mailing address

500 UPPER CHESAPEAKE DR
BEL AIR MD
21014-4324
US

V. Phone/Fax

Practice location:
  • Phone: 302-236-2932
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number57012218
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC10009136
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License NumberC10009136
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: