Healthcare Provider Details

I. General information

NPI: 1558048546
Provider Name (Legal Business Name): ARCHISHA VIJAY ROKDE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

665 S. BAY RD, UNIT B
DOVER DE
19901
US

IV. Provider business mailing address

665 S. BAY RD, UNIT B
DOVER DE
19901
US

V. Phone/Fax

Practice location:
  • Phone: 302-678-3300
  • Fax:
Mailing address:
  • Phone: 302-678-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR0027243
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: