Provider Demographics
NPI:1215378948
Name:ROY, RASMONI (MD)
Entity type:Individual
Prefix:DR
First Name:RASMONI
Middle Name:
Last Name:ROY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 CENTERVIEW PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-4254
Mailing Address - Country:US
Mailing Address - Phone:901-747-1111
Mailing Address - Fax:901-747-1137
Practice Address - Street 1:8000 CENTERVIEW PKWY STE 500
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-4254
Practice Address - Country:US
Practice Address - Phone:901-747-1111
Practice Address - Fax:901-747-1137
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN580862084N0400X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ046868Medicaid