Provider Demographics
NPI:1275519696
Name:JOBANPUTRA, ROHINI KISHOR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROHINI
Middle Name:KISHOR
Last Name:JOBANPUTRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1982 HOLLAND BROOK RD W
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3809
Mailing Address - Country:US
Mailing Address - Phone:908-369-7969
Mailing Address - Fax:908-369-0112
Practice Address - Street 1:1982 HOLLAND BROOK RD W
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3809
Practice Address - Country:US
Practice Address - Phone:908-369-7969
Practice Address - Fax:908-369-0112
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA03374400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ675-8908Medicaid
NJ675-8908Medicaid
NJRO767100Medicare ID - Type Unspecified