Provider Demographics
NPI:1265401178
Name:ROY, TAPASHI DEV (MD,MRCP,FAAP)
Entity type:Individual
Prefix:DR
First Name:TAPASHI
Middle Name:DEV
Last Name:ROY
Suffix:
Gender:F
Credentials:MD,MRCP,FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 MARKET PL
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4749
Mailing Address - Country:US
Mailing Address - Phone:925-275-0404
Mailing Address - Fax:
Practice Address - Street 1:1081 MARKET PL
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-4749
Practice Address - Country:US
Practice Address - Phone:925-275-0404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC53568208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100505450Medicaid
100768Medicare ID - Type Unspecified
I129857Medicare UPIN