National Provider Identifier Database

SITESH R ROY, MD – NPI #1033219068
Pediatric Allergy/Immunology


Contact Information

SITESH R ROY, MD
2500 N STATE ST
JACKSON, MS39216-4500
Phone: 601-984-5249
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Allergy/Immunology 2080P0201X

* Indicates primary specialty

NPI Profile & details for SITESH R ROY

NPI Number 1033219068
Credentials MD
Entity Individual
Enumeration date 09/22/2006
Last updated 11/17/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • MS License #: 17714
  • LA Medicaid: 1127191
  • MS Medicaid: 0126077
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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