Provider Demographics
NPI:1194820233
Name:MAHAJANI, ROHIT VANRAJ (MD)
Entity Type:Individual
Prefix:
First Name:ROHIT
Middle Name:VANRAJ
Last Name:MAHAJANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ROHIT
Other - Middle Name:VANRAJ
Other - Last Name:MAHAJANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3020 E CAMELBACK RD STE 301
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4418
Mailing Address - Country:US
Mailing Address - Phone:480-633-5930
Mailing Address - Fax:480-632-0467
Practice Address - Street 1:201 W GUADALUPE RD
Practice Address - Street 2:SUITE 209
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-3334
Practice Address - Country:US
Practice Address - Phone:480-633-5930
Practice Address - Fax:480-632-0467
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ31995207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ31995OtherSTATE LICENSE NUMBER