Roshan PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO1460 Issued in NV

Legal business name

ROSHAN PLLC

Practice address

3001 Saint Rose Pkwy
Henderson, NV 89052-3839

Phone

(702) 487-7055

Fax

(702) 991-7258

NPI assigned

Jun 30, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shameyel Roshan, D.O.NPI 1053583922

Title

President

Phone

(702) 427-2166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shameyel Roshan, DO

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1053583922
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1629206404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36830",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336830",
            "telephone_number": "702-427-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SAINT ROSE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523839",
            "telephone_number": "702-487-7055",
            "fax_number": "702-991-7258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2614 Regency Cove Ct",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891213969",
            "country_code": "US",
            "telephone_number": "702-427-2166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSHAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ROSHAN",
        "authorized_official_first_name": "SHAMEYEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-427-2166",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO1460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kae Rosenow, RD, CD
• Jonathan M Rosenstein, M.D.
• Philip Steven Rosenthal, RPH
• Rachel Jenan Rosenthal
• Samuel D Rosenthal, MD
• Roshan Raja DO PC
• Shameyel Roshan, DO
• Roshini Inc
• Joann Ross-Miller
• Brendon David Ross, B.A.

• Internal Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.