Organization
ROHANI SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZZABETH DIAZ (CREDENTIALING ASSISTANT)
(609) 742-2368
Entity
Organization
Contact information
Practice address
106 E RIDGEVILLE BLVD STE 2, MOUNT AIRY, MD 21771-5248
(240) 732-1200
(877) 940-4014
Mailing address
106 E RIDGEVILLE BLVD, UNIT 2, MOUNT AIRY, MD 21771-5248
(240) 732-1200
(877) 940-4014
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H0097426
MEDICAL LICENSE NUMBER
MD
Enumeration date
04/04/2024
Last updated
10/09/2024
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