Provider Demographics
NPI:1871123497
Name:SEQUOIA TELEHEALTH
Entity type:Organization
Organization Name:SEQUOIA TELEHEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATANKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:832-905-6141
Mailing Address - Street 1:25700 INTERSTATE 45 STE 400
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2198
Mailing Address - Country:US
Mailing Address - Phone:832-905-6141
Mailing Address - Fax:832-200-3259
Practice Address - Street 1:25700 INTERSTATE 45 STE 400
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77386-2198
Practice Address - Country:US
Practice Address - Phone:832-905-6141
Practice Address - Fax:832-200-3259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty