Provider Demographics
NPI:1447785795
Name:SINGH, ROHAN JEET (MD)
Entity Type:Individual
Prefix:DR
First Name:ROHAN
Middle Name:JEET
Last Name:SINGH
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 1:1 ANDERA CT
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-2413
Mailing Address - Country:US
Mailing Address - Phone:516-650-6738
Mailing Address - Fax:
Practice Address - Street 1:525 JAN WAY
Practice Address - Street 2:
Practice Address - City:CALVERTON
Practice Address - State:NY
Practice Address - Zip Code:11933-3005
Practice Address - Country:US
Practice Address - Phone:631-508-5400
Practice Address - Fax:631-910-2322
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY312002207R00000X, 207RA0401X
MDD0089878207R00000X
MD312002207RA0401X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program