Provider Demographics
NPI:1265425110
Name:ROJAS, CAROLE M (MD)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:M
Last Name:ROJAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:14601 DETROIT AVE
Mailing Address - Street 2:STE 400
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-4214
Mailing Address - Country:US
Mailing Address - Phone:216-226-8700
Mailing Address - Fax:216-221-3171
Practice Address - Street 1:14601 DETROIT AVE
Practice Address - Street 2:STE 400
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4214
Practice Address - Country:US
Practice Address - Phone:216-226-8700
Practice Address - Fax:216-221-3171
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2008-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35074805R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4511OtherRR MEDICARE GROUP
OH2229878Medicaid
CA4511OtherRR MEDICARE GROUP
H21794Medicare UPIN