Healthcare Provider Details

I. General information

NPI: 1346935947
Provider Name (Legal Business Name): ROHAN SINGH VIRDEE MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 W JEFFERSON RD STE 400
PITTSFORD NY
14534-1090
US

IV. Provider business mailing address

2300 W JEFFERSON RD STE 400
PITTSFORD NY
14534-1090
US

V. Phone/Fax

Practice location:
  • Phone: 585-602-0500
  • Fax: 585-218-0181
Mailing address:
  • Phone: 585-602-0500
  • Fax: 585-218-0181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMT229760
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: