Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MA41041 | NJ |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD022859-E | PA |
NPI | 1003810342 |
---|---|
Provider Name | Rajeev Rohatgi |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Easton, PA 18042-3915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 11/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1046431 | (05) | PA |
1401017 | HIGHMARK NJ (01) | NJ |
1715901 | CAPITAL BLUE CROSS (01) | PA |
195774 | HIGHMARK PA (01) | PA |
195774 | KEYSTONE CAPITAL (01) | PA |
355306 | CIGNA PA (01) | PA |
415103 | (05) | NJ |
55595 | AETNA US HEALTHCARE (01) | PA |
883295 | (05) | PA |
B41082 | (02) | PA |
P725707 | OXFORD (01) | PA |