Shruti Roy
D.O. | Pediatric Emergency Medicine | Female
Shruti Roy, D.O. is a Palo Alto, California based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Shruti Roy is
795 El Camino Real, Palo Alto, California - 94301-2302. She can be contacted on phone at
650-330-6558.
Shruti Roy is a sole proprietor of her business.
NPI number (Unique professional ID) for Shruti Roy is
1629364104 which was assigned by NPPES on 23 Jun, 2011 and it was last updated on 03 Jun, 2020.
Shruti Roy license number is
20A17241 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in California.
Shruti Roy has special qualifications to manage emergencies in infants and children.
Complete Profile:
Shruti Roy basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Shruti Roy |
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| Credential : | D.O. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Shruti Roy address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 795 El Camino Real
Palo Alto, CA, 94301-2302
United States |
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| Phone Number : | 650-330-6558 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1629364104 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Jun, 2011 |
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| Last Updated On : | 03 Jun, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shruti Roy are as mentioned. Primary taxonomy code for Shruti Roy, D.O. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | OT014077 | PA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 20A17241 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Shruti Roy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 362546901 | MEDICAID | TX | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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2400 CEDAR BEND DR,
AUSTIN, TX, 78758-5378
United States | AUSTIN, TX | 512-901-4031 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 325 Distel Cir
Los Altos, CA, 94022-1408
United States |
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| Phone Number : | 650-853-6558 |
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Business Location:
Patients can refer following map for directions to
Shruti Roy practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.