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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