Provider Demographics
NPI:1861599433
Name:ROHENY, NADER SEYED (MD)
Entity type:Individual
Prefix:DR
First Name:NADER
Middle Name:SEYED
Last Name:ROHENY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6731 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5708
Mailing Address - Country:US
Mailing Address - Phone:440-885-0620
Mailing Address - Fax:440-885-0667
Practice Address - Street 1:6731 RIDGE RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5708
Practice Address - Country:US
Practice Address - Phone:440-885-0620
Practice Address - Fax:440-885-0667
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35065537207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000137980OtherUNICARE
OH0939604Medicaid
OH000000137980OtherANTHEM BLUE SHIELD
OH000000137980OtherUNICARE
OH000000137980OtherANTHEM BLUE SHIELD
F74092Medicare UPIN