MEDICARE: ROSHAN CHAUHAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	29747	MD

General Provider Information

NPI Number	:	1124717442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSHAN CHAUHAN

Provider Business Mailing Address
First Line	:	100 LUNA PARK DR APT 233
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22305-3156
Country	:	US
Telephone Number	:	513-802-6201
Fax Number	:

Provider Business Practice Location Address
First Line	:	9800 HASTINGS DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-3105
Country	:	US
Telephone Number	:	301-585-2120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2023
Last Update Date	:	05/14/2025

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