Provider Demographics
NPI:1790470755
Name:BAINS, ROCHAKNAVEEN SINGH (MD)
Entity Type:Individual
Prefix:
First Name:ROCHAKNAVEEN
Middle Name:SINGH
Last Name:BAINS
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 1:38195 WINDY HILL LN
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-3178
Mailing Address - Country:US
Mailing Address - Phone:216-777-0061
Mailing Address - Fax:
Practice Address - Street 1:38195 WINDY HILL LN
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-3178
Practice Address - Country:US
Practice Address - Phone:216-777-0061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program