Provider Demographics
NPI:1639201502
Name:ROSHAN, BAKHT (MD)
Entity Type:Individual
Prefix:
First Name:BAKHT
Middle Name:
Last Name:ROSHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1280 E ALMOND AVENUE
Mailing Address - Street 2:AFFILIATED PHYSICIAN PRACTICE INC
Mailing Address - City:MADENA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-5606
Mailing Address - Country:US
Mailing Address - Phone:559-673-9021
Mailing Address - Fax:559-673-0479
Practice Address - Street 1:1280 E. ALMOND AVENUE
Practice Address - Street 2:AFFILIATED PHYSICIAN PRACTICE INC
Practice Address - City:MADENA
Practice Address - State:CA
Practice Address - Zip Code:93637-5606
Practice Address - Country:US
Practice Address - Phone:559-673-9021
Practice Address - Fax:559-673-0479
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2022-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA120800207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease