Individual provider · Type 1 NPI

Roohali Sukhavasi, MD

Student in an Organized Health Care Education/Training Program · Wpafb, OH

NPI number 1700632163 Active

Practice location

4881 Sugar Maple Dr
Wpafb, OH 45433-5529

Call (937) 257-9926 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
General Practice Physician 208D00000X35.155464 (OH)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700632163

Roohali Sukhavasi, MD's National Provider Identifier is 1700632163, issued on Apr 26, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wpafb, OH. The record was last updated on May 1, 2026.