Provider Demographics
NPI:1659649432
Name:JOSEPH, ROHAN ABRAHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:ROHAN
Middle Name:ABRAHAM
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2626 CARE DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4495
Mailing Address - Country:US
Mailing Address - Phone:850-219-2306
Mailing Address - Fax:850-219-2348
Practice Address - Street 1:2626 CARE DR
Practice Address - Street 2:SUITE 206
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4495
Practice Address - Country:US
Practice Address - Phone:850-219-2306
Practice Address - Fax:850-219-2348
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2022-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10025368208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery