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General NPI Number Information
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NPI Number | 1407761224
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Entity Type | Organization
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Legal Business Name | ROSHAN MEDICAL GROUP PC
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 518 EUCLID ST
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City | SANTA MONICA
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State | CA
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Zip | 90402-2922
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Country | US
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Telephone | 847-828-9830
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Fax |
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Provider Business Mailing Address
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Address Line | 518 EUCLID ST
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City | SANTA MONICA
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State | CA
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Zip | 90402-2922
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Country | US
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Telephone | 847-828-9830
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AISAN ROSHAN
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Credential | MD
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Telephone | 847-828-9830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2081P0004X
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Taxonomy Name | Spinal Cord Injury Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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