Provider Demographics
NPI:1003074154
Name:ROHILLA, RAJESH (MD)
Entity Type:Individual
Prefix:
First Name:RAJESH
Middle Name:
Last Name:ROHILLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4029 FLOWERING PEACH RD
Mailing Address - Street 2:
Mailing Address - City:MARVIN
Mailing Address - State:NC
Mailing Address - Zip Code:28173-6219
Mailing Address - Country:US
Mailing Address - Phone:816-244-6909
Mailing Address - Fax:
Practice Address - Street 1:HOSPICE AND COMMUNITY CARE
Practice Address - Street 2:2275 INDIAN HOOK RD
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29731
Practice Address - Country:US
Practice Address - Phone:803-329-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC40395208M00000X
NC2014-00281208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ0028PMedicaid
NC1003074154Medicaid
NCNCH831FMedicare PIN
NCNCH831EMedicare PIN
NC1003074154Medicaid
NCNCH831GMedicare PIN