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: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 S HARBOR CITY BLVD STE 110
MELBOURNE FL
32901-1906
US

IV. Provider business mailing address

709 S HARBOR CITY BLVD STE 110
MELBOURNE FL
32901-1906
US

V. Phone/Fax

Practice location:
  • Phone: 321-499-4646
  • Fax: 321-270-9449
Mailing address:
  • Phone: 321-499-4646
  • Fax: 321-270-9449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: