Search › Indiana › 1835P0018X

Roger Ata

NPI 1154038008 · on the registry since 2022

Practice

Address
15622 N State Road 79
Edinburgh, IN 46124
Phone
(201) 982-0054
Organisation at this address
Hook-Superx Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Also registered as
183500000X
1835P1200X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana