Provider Demographics
NPI:1336286319
Name:ROCHESTER HILLS OB/GYN, P.C.
Entity Type:Organization
Organization Name:ROCHESTER HILLS OB/GYN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEHRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-656-2600
Mailing Address - Street 1:1135 W UNIVERSITY DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1871
Mailing Address - Country:US
Mailing Address - Phone:248-656-2600
Mailing Address - Fax:248-656-7720
Practice Address - Street 1:1135 W UNIVERSITY DR
Practice Address - Street 2:SUITE 305
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1871
Practice Address - Country:US
Practice Address - Phone:248-656-2600
Practice Address - Fax:248-656-7720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAN033789207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M84050OtherMEDICARE
MI0F37517OtherBCBS
MI4442501Medicaid
MI0M84050OtherMEDICARE