Provider Demographics
NPI: | 1568724540 |
---|---|
Name: | ROHANI, NAJMEH (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | NAJMEH |
Middle Name: | |
Last Name: | ROHANI |
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: | 12347 EDDINGTON PL # D407 |
Mailing Address - Street 2: | |
Mailing Address - City: | FISHERS |
Mailing Address - State: | IN |
Mailing Address - Zip Code: | 46037-5400 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 317-488-9350 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1000 N 16TH ST |
Practice Address - Street 2: | |
Practice Address - City: | NEW CASTLE |
Practice Address - State: | IN |
Practice Address - Zip Code: | 47362-4319 |
Practice Address - Country: | US |
Practice Address - Phone: | 765-599-3553 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2012-06-14 |
Last Update Date: | 2020-09-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
IN | 01076046A | 2085R0202X |
PA | MT202483 | 390200000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
IN | 01076046A | Other | IN LICENSE # |
GA | 080241 | Other | GA LICENSE # |
IN | 300002642 | Medicaid |