Rohan Achar

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI 1316680671 · NPPES record last updated Apr 15, 2022

Key facts

NPI
1316680671
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-4242
NPI assigned
Apr 15, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20221031000806 CT Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
4789051020

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

Other providers in New Haven, CT

All providers in New Haven, CT · Student in an Organized Health Care Education/Training Program in Connecticut

Sources for this page

Verify at the official NPI Registry.