Basic Information
Provider Information
NPI: 1770623126
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BHATNAGAR
FirstName: ROHIT
MiddleName: K
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherLastNameType:  
Mailing Information
Address1: 2101 EAST JEFFERSON STREET
Address2: KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS
City: ROCKVILLE
State: MD
PostalCode: 20852
CountryCode: US
TelephoneNumber: 3018166660
FaxNumber: 3018166308
Practice Location
Address1: 10810 CONNECTICUT AVENUE
Address2:  
City: KENSINGTON
State: MD
PostalCode: 20895
CountryCode: US
TelephoneNumber: 3019297354
FaxNumber: 3019297024
Other Information
ProviderEnumerationDate: 02/07/2007
LastUpdateDate: 06/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000XMD20629DCN Allopathic & Osteopathic PhysiciansOphthalmology 
207W00000X0101058820VAN Allopathic & Osteopathic PhysiciansOphthalmology 
207W00000XD0043239MDY Allopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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