Provider Demographics
NPI:1780882381
Name:ROY, DARSHAN B (MD)
Entity type:Individual
Prefix:
First Name:DARSHAN
Middle Name:B
Last Name:ROY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2201 CHAPEL AVE W
Mailing Address - Street 2:PATHOLOGY DEPARTMENT
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-2048
Mailing Address - Country:US
Mailing Address - Phone:856-488-6560
Mailing Address - Fax:856-488-6846
Practice Address - Street 1:2201 CHAPEL AVE W
Practice Address - Street 2:PATHOLOGY DEPARTMENT
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2048
Practice Address - Country:US
Practice Address - Phone:856-488-6560
Practice Address - Fax:856-488-6846
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT191387207ZP0105X
NJ25MA09315800207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0361020Medicaid
NJP01224363OtherRAILROAD MEDICARE
NJP01224363OtherRAILROAD MEDICARE