Provider Demographics
NPI:1699041608
Name:PATANKAR, ROHAN (DO)
Entity Type:Individual
Prefix:DR
First Name:ROHAN
Middle Name:
Last Name:PATANKAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 672706
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77267-2706
Mailing Address - Country:US
Mailing Address - Phone:281-459-0065
Mailing Address - Fax:346-998-0354
Practice Address - Street 1:400 N SAM HOUSTON PKWY E STE 301
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3500
Practice Address - Country:US
Practice Address - Phone:281-459-0065
Practice Address - Fax:346-998-0354
Is Sole Proprietor?:No
Enumeration Date:2012-03-25
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR0475207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty