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Individual

DR. ROSHAN PAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
305 ESTILL ST, HOSPITALIST DEPT, BEREA, KY 40403-1742
(859) 986-2344
(859) 986-6768
Mailing address
100 E LIBERTY ST, STE 800, LOUISVILLE, KY 40202-1434
(859) 986-2344
(859) 986-6768

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
090370
OH
207R00000X
Internal Medicine Physician
Primary
41187
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100021370
KY
01
P00466697
MEDICARE RAILROAD
KY
Enumeration date
07/19/2007
Last updated
12/07/2020
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