Provider Demographics
NPI:1720658222
Name:ROY, SUKANYA (DO)
Entity type:Individual
Prefix:
First Name:SUKANYA
Middle Name:
Last Name:ROY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6465 S SHORE BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-5528
Mailing Address - Country:US
Mailing Address - Phone:281-538-7735
Mailing Address - Fax:
Practice Address - Street 1:6465 S SHORE BLVD STE 500
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-5528
Practice Address - Country:US
Practice Address - Phone:281-538-7735
Practice Address - Fax:409-772-2663
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10077033207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine