Healthcare Provider Details

I. General information

NPI: 1598347130
Provider Name (Legal Business Name): ROHIT VIKRAM JASWANEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2021
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 WELCH RD
PALO ALTO CA
94304-1601
US

IV. Provider business mailing address

453 QUARRY RD
PALO ALTO CA
94304-1419
US

V. Phone/Fax

Practice location:
  • Phone: 650-736-4420
  • Fax: 650-736-6690
Mailing address:
  • Phone: 650-736-4420
  • Fax: 650-736-6690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberJASW-NIV7FM
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: