Healthcare Provider Details

I. General information

NPI: 1528852449
Provider Name (Legal Business Name): ROOSHAN ARSHAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22151 MOROSS RD STE 214
DETROIT MI
48236-2151
US

IV. Provider business mailing address

7075 DISPUTED ROAD
LASALLE ON
N9H0M8
CA

V. Phone/Fax

Practice location:
  • Phone: 313-343-4867
  • Fax: 313-343-3280
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
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: