Individual
DR. PRAVEEN KUMAR ROHATGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2708 W VIRGINIA AVE, TAMPA, FL 33607-6380
(813) 875-7088
Mailing address
PO BOX 273512, TAMPA, FL 33688-3512
(813) 875-7088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME47652
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME47652
FL
207RI0011X
Interventional Cardiology Physician
ME47652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448401
—
FL
Enumeration date
09/27/2005
Last updated
05/20/2016
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