MEDICARE: SEENA ROHANI DO, MPH, MMS

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	2083X0100X	Occupational Medicine Physician	R9848	TX

General Provider Information

NPI Number	:	1811382351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEENA ROHANI DO, MPH, MMS

Provider Business Mailing Address
First Line	:	2336 TAWNY OWL RD
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-3085
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7901 JOHN W CARPENTER FWY STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-4832
Country	:	US
Telephone Number	:	469-578-8240
Fax Number	:

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

Provider Enumeration Date	:	04/01/2015
Last Update Date	:	09/15/2022

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