Healthcare Provider Details

I. General information

NPI: 1699041608
Provider Name (Legal Business Name): ROHAN PATANKAR D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2012
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 HUNTERS CREEK WAY
HOCKLEY TX
77447-3860
US

IV. Provider business mailing address

PO BOX 672706
HOUSTON TX
77267-2706
US

V. Phone/Fax

Practice location:
  • Phone: 281-459-0065
  • Fax:
Mailing address:
  • Phone: 281-459-0065
  • Fax: 346-998-0354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR0475
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: