MEDICARE: ROSHAN CHHATLANI DO

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	208100000X	Physical Medicine & Rehabilitation Physician	2427	AL
2	208100000X	Physical Medicine & Rehabilitation Physician	OS19302	FL

General Provider Information

NPI Number	:	1780111807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSHAN CHHATLANI DO

Provider Business Mailing Address
First Line	:	PO BOX 20802
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4105
Country	:	US
Telephone Number	:	888-402-7256
Fax Number	:	888-902-1099

Provider Business Practice Location Address
First Line	:	3000 BAYVIEW DR STE 100
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1772
Country	:	US
Telephone Number	:	954-567-1332
Fax Number	:

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

Provider Enumeration Date	:	05/19/2017
Last Update Date	:	07/22/2024

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Directions to “ ROSHAN CHHATLANI DO” Practice Location

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