Provider Demographics
NPI:1164433116
Name:AGARWAL, ROHITAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROHITAS
Middle Name:
Last Name:AGARWAL
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:PO BOX 2209
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32704-2209
Mailing Address - Country:US
Mailing Address - Phone:407-464-2130
Mailing Address - Fax:407-464-2156
Practice Address - Street 1:126 GOODRICH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-4373
Practice Address - Country:US
Practice Address - Phone:407-464-2130
Practice Address - Fax:407-464-2156
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86430207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H47206Medicare UPIN