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General NPI Number Information
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NPI Number | 1427191782
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Entity Type | Individual
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Provider Name | ROSHAN SHRESTHA MD
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 1968 PEACHTREE RD NW 77 BUILDING 5TH FLOOR
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-605-4600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 102321
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City | ATLANTA
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State | GA
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Zip | 30368-2321
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 056765
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 2024041976
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License Number State | MO
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