MEDICARE: DR. PIRA ROCHANAYON 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	208D00000X	General Practice Physician	C42420	CA
2	207Q00000X	Family Medicine Physician	C42420	CA

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	:	1811992530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PIRA ROCHANAYON M.D.

Provider Business Mailing Address
First Line	:	7311 GREENHAVEN DR STE 125
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-3595
Country	:	US
Telephone Number	:	916-399-1171
Fax Number	:	916-399-1082

Provider Business Practice Location Address
First Line	:	7311 GREENHAVEN DR STE 125
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-3595
Country	:	US
Telephone Number	:	916-399-1171
Fax Number	:	916-399-1082

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	12/02/2024

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