NPI Code Details Logo

NPI 1700015096

NPI 1700015096 : ROHITH SARAVANAN : MIDLAND, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1700015096
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ROHITH SARAVANAN
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/07/2009
-----------------------------------------------------
    Last Update Date     |    09/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    400 ROSALIND REDFERN GROVER PKWY 
-----------------------------------------------------
    City                 |    MIDLAND
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79701-5846
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    432-221-4976
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    400 ROSALIND REDFERN GROVER PKWY 
-----------------------------------------------------
    City                 |    MIDLAND
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79701-5846
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    432-221-4976
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    S2164
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    C180685
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    273180
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    ME139592
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.