Provider Demographics
NPI:1912983693
Name:BHASIN, ROHIT IKE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROHIT
Middle Name:IKE
Last Name:BHASIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 33369
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28233-3369
Mailing Address - Country:US
Mailing Address - Phone:704-333-0741
Mailing Address - Fax:704-365-2073
Practice Address - Street 1:10030 GILEAD RD., STE. 300
Practice Address - Street 2:SURGICAL SPECIALISTS OF CHARLOTTE, P.A.
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078
Practice Address - Country:US
Practice Address - Phone:704-895-9390
Practice Address - Fax:704-464-5948
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200500648208600000X
NC0500648208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5901075Medicaid
I33580Medicare UPIN
NC2041427BMedicare ID - Type UnspecifiedCTS MEDICARE NUMBER
NCI33580Medicare UPIN
2041427Medicare PIN