MEDICARE: ROHEE KRISHAN MD

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	208M00000X	Hospitalist Physician	173893	CA
2	207R00000X	Internal Medicine Physician	173893	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A173893	OTHER	CA	STATE MEDICAL LICENSE

General Provider Information

NPI Number	:	1164929642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROHEE KRISHAN MD

Provider Business Mailing Address
First Line	:	601 VAN NESS AVE STE E3619
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-3200
Country	:	US
Telephone Number	:	415-531-9047
Fax Number	:	415-213-4659

Provider Business Practice Location Address
First Line	:	30 MARK WEST SPRINGS RD
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-1436
Country	:	US
Telephone Number	:	707-576-4000
Fax Number	:

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

Provider Enumeration Date	:	04/10/2018
Last Update Date	:	02/19/2026

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