Provider Demographics
NPI:1033226352
Name:ROY, PRADEEP KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:PRADEEP
Middle Name:KUMAR
Last Name:ROY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2527 CHESTNUT RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3031
Mailing Address - Country:US
Mailing Address - Phone:832-269-8440
Mailing Address - Fax:281-358-2213
Practice Address - Street 1:2527 CHESTNUT RIDGE DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3031
Practice Address - Country:US
Practice Address - Phone:281-358-4747
Practice Address - Fax:281-358-2213
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH31602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133716403Medicaid
TX89X780Medicare PIN
TX133716403Medicaid