Provider Demographics
NPI:1700963444
Name:CHAND ROHATGI, MD PC
Entity Type:Organization
Organization Name:CHAND ROHATGI, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHAND
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHATGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-252-1999
Mailing Address - Street 1:3735 NAZARETH RD
Mailing Address - Street 2:STE 103
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-8338
Mailing Address - Country:US
Mailing Address - Phone:610-252-1999
Mailing Address - Fax:610-252-0573
Practice Address - Street 1:3735 NAZARETH RD
Practice Address - Street 2:SUITE 103
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8338
Practice Address - Country:US
Practice Address - Phone:610-252-1999
Practice Address - Fax:610-252-0573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD057598L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA091338OtherMEDICARE PROVIDER NUMBER
PA01641510Medicaid
PA01641510Medicaid
PA091338OtherMEDICARE PROVIDER NUMBER