Basic Information
| Provider Information | |||||||||
| NPI: | 1710023411 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ADYANTHAYA | ||||||||
| FirstName: | ROHIT | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 241 CORPORATE BLVD | ||||||||
| Address2: | |||||||||
| City: | NORFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 235024975 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7576222200 | ||||||||
| FaxNumber: | 7576224866 | ||||||||
| Practice Location | |||||||||
| Address1: | 241 CORPORATE BLVD | ||||||||
| Address2: | |||||||||
| City: | NORFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 235024975 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7576222200 | ||||||||
| FaxNumber: | 7576224866 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/29/2007 | ||||||||
| LastUpdateDate: | 02/17/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | T1822 | MD | N | Allopathic & Osteopathic Physicians | Ophthalmology | 207W00000X | P0530 | TX | N | Allopathic & Osteopathic Physicians | Ophthalmology | 207WX0107X | P0530 | TX | N | 207W00000X | 0101262516 | VA | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.