Provider Demographics
NPI:1851552087
Name:MARKLEY, ROSHANAK ROBATI (MD)
Entity Type:Individual
Prefix:
First Name:ROSHANAK
Middle Name:ROBATI
Last Name:MARKLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROSHANAK
Other - Middle Name:
Other - Last Name:ROBATI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2200 PUMP RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-3539
Mailing Address - Country:US
Mailing Address - Phone:804-740-1100
Mailing Address - Fax:804-740-1055
Practice Address - Street 1:2200 PUMP RD
Practice Address - Street 2:SUITE 210
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-3539
Practice Address - Country:US
Practice Address - Phone:804-740-1100
Practice Address - Fax:804-740-1055
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101255926207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine