SearchIndiana2085R0202X

Jacob Roshanmanesh

NPI 1427475516 · on the registry since 2014

Practice

Address
620 W Edison Rd Ste 110
Mishawaka, IN 46545
Phone
(574) 258-1100
Organisation at this address
Radiology, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
390200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana