Active NPI
Rohani Surgical LLC
- Vascular Surgery Physician
- Mount Airy, MD
National Provider Identifier
1467204263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- ROHANI SURGICAL LLC
- Practice address
- 106 E Ridgeville Blvd Ste 2
Mount Airy, MD 21771-5248 - Phone
- (240) 732-1200
- Fax
- (877) 940-4014
- NPI assigned
- Apr 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizzabeth Diaz
- Title
- Credentialing Assistant
- Phone
- (609) 742-2368
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
106 E Ridgeville Blvd Ste 2
Mount Airy, MD 21771-5248
Mailing address
106 E Ridgeville Blvd
Unit 2
Mount Airy, MD 21771-5248
Phone (240) 732-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H0097426 | Other | MD | MEDICAL LICENSE NUMBER |
National Provider Directory
National Provider DirectoryLocations
106 E Ridgeville Blvd
Unit 2
Mount Airy, MD 21771
106 E Ridgeville Blvd
Ste 2
Mount Airy, MD 21771
Phone (240) 732-1200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1467204263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 E RIDGEVILLE BLVD",
"address_2": "UNIT 2",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715248",
"telephone_number": "240-732-1200",
"fax_number": "877-940-4014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 E RIDGEVILLE BLVD STE 2",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715248",
"telephone_number": "240-732-1200",
"fax_number": "877-940-4014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROHANI SURGICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-04",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "ELIZZABETH",
"authorized_official_title_or_position": "CREDENTIALING ASSISTANT",
"authorized_official_telephone_number": "609-742-2368"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "H0097426",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Airy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.