Bista, Roshan
Bista, Roshan is an sole proprietor health care provider with primary practice located at University Of Tennessee 920 Madison Avenue Suite 447 , Memphis TN 38163-1462. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Bista, Roshan can be contacted via phone (615) 222-1434.Contact Information
Primary practice address
University Of Tennessee 920 Madison Avenue Suite 447
Memphis TN 38163-1462
Phone: (615) 222-1434
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036145571 | Illinois |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036145571 | Illinois |
Profile Details
NPI number | 1730564428 |
---|---|
LBN Legal business name | Bista, Roshan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 23rd, 2015 |
Last updated | Jun 29th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730564428 | NPPES |
Illinois | Other | 214881 | GROUP PTAN |
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