Provider Demographics
NPI:1891864872
Name:ROHELA, HIRA (MD)
Entity Type:Individual
Prefix:
First Name:HIRA
Middle Name:
Last Name:ROHELA
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 1:130 WEST 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920
Mailing Address - Country:US
Mailing Address - Phone:330-385-7945
Mailing Address - Fax:330-385-7938
Practice Address - Street 1:130 WEST 4TH STREET
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920
Practice Address - Country:US
Practice Address - Phone:330-385-7945
Practice Address - Fax:330-385-7938
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35041842207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
001715933OtherMTN STATE BC BS
001715933OtherHIGHMARK BC BS
OH0446951OtherMEDICARE ID
A77537Medicare UPIN