Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 56305 | MN |
N | 207KA0200X | Allergist | 56305 | MN |
NPI | 1417123498 |
---|---|
Provider Name | Dr. Rohit Dilip Divekar |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2008 |
Last Update Date | 13/08/2020 |