Provider Demographics
NPI:1326866377
Name:BILLIMORIA, ROHAAN KAIZAD
Entity type:Individual
Prefix:DR
First Name:ROHAAN
Middle Name:KAIZAD
Last Name:BILLIMORIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 ENNIS JOSLIN RD APT 829
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-4380
Mailing Address - Country:US
Mailing Address - Phone:424-407-5147
Mailing Address - Fax:
Practice Address - Street 1:4224 AYERS ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415-5317
Practice Address - Country:US
Practice Address - Phone:424-407-5147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX410171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice