MEDICARE: EMMANUEL ROHANI

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	183500000X	Pharmacist	57715	CA

General Provider Information

NPI Number	:	1255840625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMANUEL ROHANI

Provider Business Mailing Address
First Line	:	4623 FALLSTONE CT
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-3463
Country	:	US
Telephone Number	:	775-742-9039
Fax Number	:

Provider Business Practice Location Address
First Line	:	4623 FALLSTONE COURT
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124
Country	:	US
Telephone Number	:	775-742-9039
Fax Number	:

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

Provider Enumeration Date	:	09/28/2017
Last Update Date	:	07/21/2022

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Directions to “ EMMANUEL ROHANI ” Practice Location

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