Provider Demographics
NPI:1215249016
Name:ROY, RISHI ASHOK (MD)
Entity type:Individual
Prefix:DR
First Name:RISHI
Middle Name:ASHOK
Last Name:ROY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2101 HIGHWAY 90
Mailing Address - Street 2:
Mailing Address - City:GAUTIER
Mailing Address - State:MS
Mailing Address - Zip Code:39553-5340
Mailing Address - Country:US
Mailing Address - Phone:228-497-7576
Mailing Address - Fax:
Practice Address - Street 1:3603 BIENVILLE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-5736
Practice Address - Country:US
Practice Address - Phone:228-762-3000
Practice Address - Fax:228-818-4151
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS245622086S0129X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery