Provider Demographics
NPI:1467773879
Name:ROHATGI, AMIT (OD)
Entity Type:Individual
Prefix:DR
First Name:AMIT
Middle Name:
Last Name:ROHATGI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:1275 STONECROFT WAY
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-4772
Mailing Address - Country:US
Mailing Address - Phone:678-520-9962
Mailing Address - Fax:770-619-5211
Practice Address - Street 1:400 ERNEST W BARRETT PKWY NW
Practice Address - Street 2:SUITE# 151
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-4917
Practice Address - Country:US
Practice Address - Phone:770-423-0682
Practice Address - Fax:770-619-5211
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAOPT002567152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist