MEDICARE: ROSHNI SHAH M.D

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	207R00000X	Internal Medicine Physician	82783	AZ
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	C172079	CA

General Provider Information

NPI Number	:	1821283938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSHNI SHAH M.D

Provider Business Mailing Address
First Line	:	4140 W 190TH ST
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90504-5513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 N ROBERTSON BLVD STE 606
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1793
Country	:	US
Telephone Number	:	310-248-6840
Fax Number	:

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

Provider Enumeration Date	:	09/11/2007
Last Update Date	:	04/07/2025

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Directions to “ ROSHNI SHAH M.D” Practice Location

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