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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB ROSHANMANESH

Active

JACOB ROSHANMANESH is a Diagnostic Radiology healthcare provider located in MISHAWAKA, Indiana. NPI 1427475516 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · MISHAWAKA, IN

Registration Details

NPI Number
1427475516
Provider Type
Individual
Gender
Male
NPI Issued
Mar 26, 2014 (12.386913694235 yrs)
Last Updated
Mar 22, 2021
License
01081681A (IN)

Practice Information

Address
620 W EDISON RD STE 110
MISHAWAKA, IN, 465452784
Browse IN providers · Browse ZIP 46545
Phone
5742581100
Primary Specialty
Diagnostic Radiology
2085R0202X
Additional Specialty
Diagnostic Radiology

Other Diagnostic Radiology Providers in MISHAWAKA, IN

Name Credential NPI
DANIEL A BOLL MD 1487648184
MICHAEL F GRANTHAM MD 1649264342
RUSSELL B MIDKIFF MD 1346235827
PEDRO A MIRO MD 1235124710
MARK J ORMSON MD 1023003506
ALPHONSE H HARDING MD 1831184399
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.