| Roshan Pllc | |
|
3001 Saint Rose Pkwy Henderson NV 89052-3839 | |
| (702) 487-7055 | |
| (702) 991-7258 |
| Full Name | Roshan Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3001 Saint Rose Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Shameyel Roshan (PRESIDENT) |
| Authorized Official Contact | 7024272166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roshan Pllc Po Box 36830 Las Vegas NV 89133-6830 Ph: (702) 427-2166 | Roshan Pllc 3001 Saint Rose Pkwy Henderson NV 89052-3839 Ph: (702) 487-7055 |
| NPI Number | 1629206404 |
|---|---|
| Provider Enumeration Date | 06/30/2009 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 8729132311 |
|---|---|
| Medicare Enrollment ID | O20090817000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629206404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO1460 (Nevada) | Primary |
| Provider Name | Shameyel Roshan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053583922 PECOS PAC ID: 5193879781 Enrollment ID: I20090817000370 |
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