Provider Demographics
NPI:1851353015
Name:ROHIT DANDIYA MD PA
Entity Type:Organization
Organization Name:ROHIT DANDIYA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:DANDIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-622-7661
Mailing Address - Street 1:3345 BURNS ROAD
Mailing Address - Street 2:#302
Mailing Address - City:PALM BEACH GDNS
Mailing Address - State:FL
Mailing Address - Zip Code:33410
Mailing Address - Country:US
Mailing Address - Phone:561-622-7661
Mailing Address - Fax:561-622-4651
Practice Address - Street 1:3345 BURNS ROAD
Practice Address - Street 2:#302
Practice Address - City:PALM BEACH GDNS
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-622-7661
Practice Address - Fax:561-622-4651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL45404Medicare PIN