Provider Demographics
NPI:1538319710
Name:RAI, ROHIT (MD)
Entity Type:Individual
Prefix:
First Name:ROHIT
Middle Name:
Last Name:RAI
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 1:28 S CARLL AVE
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3427
Mailing Address - Country:US
Mailing Address - Phone:631-661-3245
Mailing Address - Fax:631-661-2219
Practice Address - Street 1:28 S CARLL AVE
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-3427
Practice Address - Country:US
Practice Address - Phone:631-661-3245
Practice Address - Fax:631-661-2219
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.055573207R00000X
NY259573207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1538319710OtherBCBS
NY03423181Medicaid
NYA300043221Medicare PIN