MEDICARE: ROHIT TONGIA 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	207R00000X	Internal Medicine Physician	056494	GA
2	207RC0000X	Cardiovascular Disease Physician	056494	GA
3	207RI0011X	Interventional Cardiology Physician	056494	GA

General Provider Information

NPI Number	:	1942385166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROHIT TONGIA MD

Provider Business Mailing Address
First Line	:	1360 CADUCEUS WAY
Second Line	:	BUILDING 600, SUITE 105
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677
Country	:	US
Telephone Number	:	706-850-3795
Fax Number	:	877-580-1676

Provider Business Practice Location Address
First Line	:	1360 CADUCEUS WAY
Second Line	:	BUILDING 600 SUITE 105
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677-7300
Country	:	US
Telephone Number	:	706-850-3795
Fax Number	:	877-580-1676

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	03/18/2021

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Directions to “ ROHIT TONGIA MD” Practice Location

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