MEDICARE: DR. EDUARDO L ROJAS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2088P0231X	Pediatric Urology Physician	030370	GA
2	2088P0231X	Pediatric Urology Physician	49568	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	343217	OTHER	GA	WELL CARE
3	10064319	OTHER	GA	AMERIGROUP
4	11D0881495	OTHER	GA	TAXONOMY

General Provider Information

NPI Number	:	1033280656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDUARDO L ROJAS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 879
Second Line	:
City	:	CALHOUN
State	:	GA
Zip	:	30703-0879
Country	:	US
Telephone Number	:	678-986-6073
Fax Number	:	706-629-3846

Provider Business Practice Location Address
First Line	:	360 CUMBERLAND DR NE
Second Line	:
City	:	CALHOUN
State	:	GA
Zip	:	30701-4727
Country	:	US
Telephone Number	:	678-986-6073
Fax Number	:	706-629-3846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	03/28/2017

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