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Jacob Roshanmanesh
Diagnostic Radiology Physician in Mishawaka, Indiana
NPI 1427475516

Jacob Roshanmanesh is a Diagnostic Radiology Physician based in Mishawaka, IN and is specialized in Diagnostic Radiology. Jacob Roshanmanesh practices in Mishawaka, IN. The NPI Number for Jacob Roshanmanesh is 1427475516 and holds a License No. (Indiana).

The current practice location address for Jacob Roshanmanesh is 620 W Edison Rd Ste 110, Mishawaka, IN and can be reached out via phone at 574-258-1100.

Location: 620 W Edison Rd Ste 110, Mishawaka, IN, 46545-2784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427475516
Provider Name
Jacob Roshanmanesh
Credential
Provider Entity Type
Individual
Gender
Male
Address
620 W Edison Rd Ste 110, Mishawaka, IN, 46545-2784
Phone Number
574-258-1100
Fax Number
Provider Enumeration Date
03/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
620 W Edison Rd Ste 110
City
Mishawaka
State
Indiana
Zip
46545-2784
Phone Number
574-258-1100
Fax Number
person
Provider Business Mailing Address Details
Address
620 W Edison Rd Ste 110
City
Mishawaka
State
Indiana
Zip
46545-2784
Phone Number
574-258-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
01081681A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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