Individual
DR. KAVISH ROHATGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
3135 W BROADWAY, COUNCIL BLUFFS, IA 51501-3359
(712) 328-9100
(712) 328-0095
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
14023986255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25852
NE
207Q00000X
Family Medicine Physician
Primary
38956
IA
Other
Enumeration date
07/25/2007
Last updated
03/17/2018
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