Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Roy Muljadi Soetikno, MD

Individual provider Gastroenterology Physician · NPI 1922119916

Dr. Roy Muljadi Soetikno, MD is a Gastroenterology in Mountain View, California. Graduated from University of Chicago, Pritzker School of Medicine in 1990, 36 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
36
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2490 Hospital Dr Ste 211
Mountain View, CA 94040-4125
Phone: (650) 492-3384
Fax: (650) 963-3535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3801 Miranda Ave # Gi111, Palo Alto, CA 94304-1207 — (650) 849-0542

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence G76556 (CA)

Record details

NPI number1922119916
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Not indicated

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