Provider Demographics
NPI:1881808715
Name:DHIR, ROHTASHAV (MD, MPH,)
Entity type:Individual
Prefix:DR
First Name:ROHTASHAV
Middle Name:
Last Name:DHIR
Suffix:
Gender:M
Credentials:MD, MPH,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 WIGWAM PKWY STE 112
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7326
Mailing Address - Country:US
Mailing Address - Phone:702-255-5900
Mailing Address - Fax:702-255-5980
Practice Address - Street 1:6950 S CIMARRON RD STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2135
Practice Address - Country:US
Practice Address - Phone:702-796-0231
Practice Address - Fax:702-796-5211
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-4075207RG0100X
NV21113207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVVWCGTSOtherMEDICARE PTAN
NV250013895Medicaid