Provider Demographics
NPI:1881676211
Name:ROHATGI, NALINI (MD)
Entity Type:Individual
Prefix:
First Name:NALINI
Middle Name:
Last Name:ROHATGI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NALINI
Other - Middle Name:
Other - Last Name:CHAUDHRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 273512
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33688-3512
Mailing Address - Country:US
Mailing Address - Phone:813-875-7088
Mailing Address - Fax:
Practice Address - Street 1:2708 W VIRGINIA AVE
Practice Address - Street 2:STE A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6380
Practice Address - Country:US
Practice Address - Phone:813-875-7088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-21
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0049207207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
02276OtherBCBS
FL374747600Medicaid
0227603Medicare Oscar/Certification
D50427Medicare UPIN