Individual
ROHAN RAJU RENGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5205 CHAIRMANS CT, SUITE 100, FREDERICK, MD 21703-2915
(301) 696-0012
(301) 696-0016
Mailing address
5205 CHAIRMANS CT, SUITE 100, FREDERICK, MD 21703-2915
(301) 696-0012
(301) 696-0016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H0065835
MD
207RN0300X
Nephrology Physician
Primary
H0065835
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810009573
—
WV
Enumeration date
08/05/2007
Last updated
06/13/2016
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