Provider Demographics
NPI:1750483541
Name:RAROQUE, ROY M (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:M
Last Name:RAROQUE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2615 E CLINTON AVE
Mailing Address - Street 2:V.A. CENTRAL CALIFORNIA HEALTH CARE SYSTEM
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703-2223
Mailing Address - Country:US
Mailing Address - Phone:559-228-5336
Mailing Address - Fax:559-228-6910
Practice Address - Street 1:2615 E CLINTON AVE
Practice Address - Street 2:V.A. CENTRAL CALIFORNIA HEALTH CARE SYSTEM
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2223
Practice Address - Country:US
Practice Address - Phone:559-228-5336
Practice Address - Fax:559-228-6910
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXK 34162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry