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Individual

DR. ROSHAN MARTIN BASHIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
106 IRVING STREET NW, STE 205, WASHINGTON, DC 20010
(202) 829-5192
(202) 823-4821
Mailing address
106 IRVING STREET NW, STE 205, WASHINGTON, DC 20010
(202) 829-5192
(202) 823-4821

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
D0050897
MD
207RG0100X
Gastroenterology Physician
Primary
MD20565
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029507800
DC
01
110145182
MEDICARE RAILROAD
DC
05
518000700
MD
Enumeration date
08/13/2006
Last updated
05/08/2019
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