NPI 1952599979

Rajiv Roy, CPO

Practitioner Prosthetist Lake Havasu City, AZ

Practice location

Address: 1675 Mesquite Ave STE a, Lake Havasu City, AZ 86403-5665
Phone: (928) 680-4089

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 211000288 (IL)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213000358 (IL)

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Registry record

NPI: 1952599979
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2007
Record last updated: 12 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.