Individual
OMID ROUHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
1414 KUHL AVE, MP44, ORLANDO, FL 32806-2008
(312) 504-2877
Mailing address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(312) 504-2877
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036143549
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
17767
FL
Other
Enumeration date
08/29/2012
Last updated
05/11/2018
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