Individual
ROSHAN BISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163-1462
(615) 222-1434
Mailing address
4220 HARDING PIKE, NASHVILLE, TN 37205-2005
(615) 222-1434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036145571
IL
208M00000X
Hospitalist Physician
Primary
036145571
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
GROUP PTAN
IL
Enumeration date
07/23/2015
Last updated
06/29/2023
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