Individual
NAKIISA M ROGERS
Active
Individual
NAKIISA M ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01058163A
IN
2085R0202X
Diagnostic Radiology Physician
35.085961
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000370417
ANTHEM BCBS
OH
01
—
000000618596
ANTHEM BCBS
IN
05
—
200946150
—
IN
05
—
2557504
—
OH
01
—
822400059
MEDICARE
IL
01
—
P00221389
RAILROAD MEDICARE
OH
01
—
P00787057
RAILROAD MEDICARE
IN
Enumeration date
03/28/2006
Last updated
01/13/2021
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