Healthcare Provider Details

I. General information

NPI: 1568898575
Provider Name (Legal Business Name): ROHRA CARDIOVASCULAR INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2013
Last Update Date: 09/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2485 HIGH SCHOOL AVE 103
CONCORD CA
94520-1819
US

IV. Provider business mailing address

2485 HIGH SCHOOL AVE 103
CONCORD CA
94520-1819
US

V. Phone/Fax

Practice location:
  • Phone: 925-233-4480
  • Fax: 925-233-4490
Mailing address:
  • Phone: 925-233-4480
  • Fax: 925-233-4490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA50848
License Number StateCA

VIII. Authorized Official

Name: SRIKRISHIN ROHRA
Title or Position: PRESIDENT
Credential: M.D., F.A.C.C.
Phone: 925-233-4480