Rengen, Rohan Raju

Rengen, Rohan Raju is an individual health care provider with primary practice located at 5205 Chairmans Ct Suite 100, Frederick MD 21703-2915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Rengen, Rohan Raju can be contacted via phone (301) 696-0012.

Contact Information

Primary practice address
5205 Chairmans Ct Suite 100 Frederick MD 21703-2915
Fax: (301) 696-0016
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X H0065835 Maryland
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X H0065835 Maryland

Profile Details

NPI number 1609067792
LBN Legal business name Rengen, Rohan Raju
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Jun 13th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609067792 NPPES
West Virginia MEDICAID 3810009573

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