MEDICARE: MR. RANJAN SHANTI ROY PH.O., M.D.

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
1	207T00000X	Neurological Surgery Physician	9500208	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1205830221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RANJAN SHANTI ROY PH.O., M.D.

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 JAKE ALEXANDER BLVD W STE 104
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28147-1385
Country	:	US
Telephone Number	:	704-645-0901
Fax Number	:	704-645-0907

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	11/21/2022

Similar Medicare Providers

1831194984 — MRS. RHONDA SMITH ELLIOTT PA-C
Practice Location Address:

330 JAKE ALEXANDER BLVD W STE 104
SALISBURY, NC
28147-1385

Practice Phone: 701-645-0901
Practice Fax: 704-645-0907

1467484808 — MAXIM HEALTHCARE SERVICES, INC.
Practice Location Address:

330 JAKE ALEXANDER BLVD W STE 102
SALISBURY, NC
28147-1385

Practice Phone: 704-638-0025
Practice Fax:

1376726737 — STUEMKE CONSULTING, INC.
Practice Location Address:

330 JAKE ALEXANDER BLVD W STE 201
SALISBURY, NC
28147-1385

Practice Phone: 704-633-4028
Practice Fax:

1376821561 — TAMMY RENA BURKE NP
Practice Location Address:

330 JAKE ALEXANDER BLVD W STE 104
SALISBURY, NC
28147-1385

Practice Phone: 704-645-0901
Practice Fax:

1093378291 — CHARIS CRAIG BOSTIAN FNP
Practice Location Address:

330 JAKE ALEXANDER BLVD W STE 101A
SALISBURY, NC
28147-1385

Practice Phone: 704-637-5668
Practice Fax: 704-637-5605

1982216172 — JULIA LAUREN CHABAI PA
Practice Location Address:

330 JAKE ALEXANDER BLVD W STE 103
SALISBURY, NC
28147-1385

Practice Phone: 704-519-2366
Practice Fax:

Directions to “ MR. RANJAN SHANTI ROY PH.O., M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.