| Bakht Roshan Md, A Professional Corp | |
|
924 Emily Way Madera CA 93637-5647 | |
| (559) 203-5125 | |
| Not Available |
| Full Name | Bakht Roshan Md, A Professional Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 924 Emily Way, Madera, California |
| Authorized Official Name and Position | Bakht Roshan (PRESIDENT) |
| Authorized Official Contact | 6173197737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bakht Roshan Md, A Professional Corp 9594 N Larkspur Ave Fresno CA 93720-4620 Ph: (617) 319-9021 | Bakht Roshan Md, A Professional Corp 924 Emily Way Madera CA 93637-5647 Ph: (559) 203-5125 |
| NPI Number | 1164179552 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 01/11/2023 |
| Medicare PECOS PAC ID | 6002202090 |
|---|---|
| Medicare Enrollment ID | O20220330002386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164179552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Bakht Roshan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639201502 PECOS PAC ID: 1355435603 Enrollment ID: I20120925000840 |
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