MEDICARE: DR. ROHAN R WALVEKAR 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	207Y00000X	Otolaryngology Physician	LT000592	PA
2	207Y00000X	Otolaryngology Physician	MD.203050	LA

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

General Provider Information

NPI Number	:	1619987997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROHAN R WALVEKAR MD

Provider Business Mailing Address
First Line	:	533 BOLIVAR ST STE 566
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-1349
Country	:	US
Telephone Number	:	504-568-4785
Fax Number	:

Provider Business Practice Location Address
First Line	:	533 BOLIVAR ST STE 566
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-1349
Country	:	US
Telephone Number	:	504-568-4785
Fax Number	:

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	05/19/2021

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