Provider Demographics
NPI:1457505778
Name:ROWGHANI, MOHAMMAD ISFAHANI (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:ISFAHANI
Last Name:ROWGHANI
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 1:216 DOWNING RD
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3354
Mailing Address - Country:US
Mailing Address - Phone:610-269-2282
Mailing Address - Fax:610-269-2282
Practice Address - Street 1:216 DOWNING RD
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3354
Practice Address - Country:US
Practice Address - Phone:610-269-2282
Practice Address - Fax:610-269-2282
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD034308L207V00000X
PAMD034308L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology