MEDICARE: SUKANYA ROY DO

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	207Q00000X	Family Medicine Physician	BP10077033	TX

General Provider Information

NPI Number	:	1720658222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUKANYA ROY DO

Provider Business Mailing Address
First Line	:	6465 S SHORE BLVD STE 500
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-5528
Country	:	US
Telephone Number	:	281-538-7735
Fax Number	:

Provider Business Practice Location Address
First Line	:	6465 S SHORE BLVD STE 500
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-5528
Country	:	US
Telephone Number	:	281-538-7735
Fax Number	:	409-772-2663

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

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	06/13/2024

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Directions to “ SUKANYA ROY DO” Practice Location

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