Healthcare Provider Details

I. General information

NPI: 1477256865
Provider Name (Legal Business Name): ARSHILA ROSHAN-MERCHANT ASHIQALI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ARSHILA ROSHAN MERCHANT MD

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 REDMOND RD NW
ROME GA
30165-1415
US

IV. Provider business mailing address

19355 SHERMAN WAY UNIT 2
RESEDA CA
91335-3560
US

V. Phone/Fax

Practice location:
  • Phone: 706-291-0291
  • Fax:
Mailing address:
  • Phone: 630-544-4428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number15458
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: