Healthcare Provider Details

I. General information

NPI: 1528321437
Provider Name (Legal Business Name): ROHIT B NATHAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 N 12TH ST FL 2
PHOENIX AZ
85006-2837
US

IV. Provider business mailing address

1441 N 12TH ST FL 2
PHOENIX AZ
85006-2837
US

V. Phone/Fax

Practice location:
  • Phone: 602-521-5800
  • Fax:
Mailing address:
  • Phone: 608-521-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License Number008023
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: