Individual
ROHINI ERIKA NORONHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 ASHBY AVE RM 5505, BERKELEY, CA 94705-2067
(510) 204-4444
(510) 649-8287
Mailing address
3687 MT DIABLO BLVD STE 200, LAFAYETTE, CA 94549-3746
(916) 854-6975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-116701
IL
208M00000X
Hospitalist Physician
Primary
C55277
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036116181
BCBS
IL
01
—
036116701
BCBS
IL
05
—
036116701
—
IL
01
—
C55277
STATE LICENSE
CA
01
—
P00356269
RAIL ROAD MEDICARE
IL
01
—
P00356270
RR MEDICARE
IL
Enumeration date
10/17/2006
Last updated
07/21/2022
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