Provider Demographics
NPI:1528057288
Name:ALAY, ROHINI RONI (MD)
Entity type:Individual
Prefix:DR
First Name:ROHINI
Middle Name:RONI
Last Name:ALAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 GUNBARREL RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3192
Mailing Address - Country:US
Mailing Address - Phone:423-648-8110
Mailing Address - Fax:423-443-4297
Practice Address - Street 1:1720 GUNBARREL RD
Practice Address - Street 2:SUITE 206
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3192
Practice Address - Country:US
Practice Address - Phone:423-648-8110
Practice Address - Fax:423-443-4297
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-17
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD 31560207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3888401Medicare ID - Type Unspecified
3888401Medicare Oscar/Certification
G99682Medicare UPIN
3888401Medicare PIN