Provider Demographics
NPI:1598935801
Name:ROYCHOWDHURY, NIRMALYA (MD)
Entity Type:Individual
Prefix:DR
First Name:NIRMALYA
Middle Name:
Last Name:ROYCHOWDHURY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2418 ALLEQUIPPA ST
Mailing Address - Street 2:APT # 310
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2326
Mailing Address - Country:US
Mailing Address - Phone:801-809-3128
Mailing Address - Fax:
Practice Address - Street 1:2418 ALLEQUIPPA ST
Practice Address - Street 2:APT # 310
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2326
Practice Address - Country:US
Practice Address - Phone:801-809-3128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2008-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-048901207R00000X
PAMT192018207RC0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine