Healthcare Provider Details

I. General information

NPI: 1467945485
Provider Name (Legal Business Name): ROHAN RAJ SARNA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 N CLYDE MORRIS BLVD STE 200
DAYTONA BEACH FL
32114-2756
US

IV. Provider business mailing address

311 N CLYDE MORRIS BLVD STE 200
DAYTONA BEACH FL
32114-2756
US

V. Phone/Fax

Practice location:
  • Phone: 386-241-1060
  • Fax: 386-241-1061
Mailing address:
  • Phone: 386-241-1060
  • Fax: 386-241-1061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME164012
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMT215749
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME164012
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: