# BAKHT ROSHAN MD, A PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164179552
- **Authorized official:** BAKHT ROSHAN M.D. (PRESIDENT)
- **Authorized official phone:** (617) 319-7737

## Contact information

- **Practice address:** 924 EMILY WAY, MADERA, CA 93637-5647
- **Practice address phone:** (559) 203-5125
- **Mailing address:** 9594 N LARKSPUR AVE, FRESNO, CA 93720-4620
- **Mailing address phone:** (617) 319-9021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2022
- **Last updated:** 01/11/2023
