Healthcare Provider Details

I. General information

NPI: 1497272629
Provider Name (Legal Business Name): ROHAT BHAGWAN BHIMANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RAHOOL BHAGWAN BHIMANI

II. Dates (important events)

Enumeration Date: 08/28/2017
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 PARKERS LN STE 201
ALEXANDRIA VA
22306-3209
US

IV. Provider business mailing address

2501 PARKERS LN STE 201
ALEXANDRIA VA
22306-3209
US

V. Phone/Fax

Practice location:
  • Phone: 703-892-6500
  • Fax:
Mailing address:
  • Phone: 703-892-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number0101289020
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101289020
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: