MEDICARE: ROHIT VANRAJ MAHAJANI 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	207RG0100X	Gastroenterology Physician	31995	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31995	OTHER	AZ	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1194820233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROHIT VANRAJ MAHAJANI M.D.

Provider Business Mailing Address
First Line	:	3020 E CAMELBACK RD STE 301
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4418
Country	:	US
Telephone Number	:	480-633-5930
Fax Number	:	480-632-0467

Provider Business Practice Location Address
First Line	:	201 W GUADALUPE RD
Second Line	:	SUITE 209
City	:	GILBERT
State	:	AZ
Zip	:	85233-3334
Country	:	US
Telephone Number	:	480-633-5930
Fax Number	:	480-632-0467

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	11/27/2023

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