Provider Demographics
NPI:1710188529
Name:ROTAR, ANA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:MARIA
Last Name:ROTAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANA
Other - Middle Name:MARIA
Other - Last Name:JINGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:26901 BEAUMONT BLVD STE 3D
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3849
Mailing Address - Country:US
Mailing Address - Phone:947-522-1861
Mailing Address - Fax:947-522-0307
Practice Address - Street 1:1101 WEST UNIVERSITY DRIVE
Practice Address - Street 2:BEHAVIORAL HEALTH CENTER, 6 WEST
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1831
Practice Address - Country:US
Practice Address - Phone:248-652-5291
Practice Address - Fax:248-652-5817
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010867472084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry