Individual
BIJAN ROSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 E HARVARD AVE, SUITE # 565, DENVER, CO 80210-5073
(303) 777-3333
(303) 733-4441
Mailing address
850 E HARVARD AVE, SUITE #565, DENVER, CO 80210-5073
(303) 777-3333
(303) 733-4441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
155137
MA
207R00000X
Internal Medicine Physician
38341
WI
207R00000X
Internal Medicine Physician
8789
MT
207RN0300X
Nephrology Physician
155137
MA
207RN0300X
Nephrology Physician
Primary
51352
CO
207RN0300X
Nephrology Physician
8789
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20028270
—
CO
05
—
3205398
—
MA
05
—
9988792
—
MT
01
—
COA108620
INDIVIDUAL PTAN
CO
Enumeration date
01/26/2006
Last updated
04/26/2013
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