Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 89056 | GA |
Y | 207RX0202X | Medical Oncology | 89056 | GA |
NPI | 1306035498 |
---|---|
Provider Name | Rohit Bishnoi |
First Address | Atlanta, GA 30368-7287 |
Second Address | Savannah, GA 31404-6220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2007 |
Last Update Date | 14/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010252400 | (05) | FL |