Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Roshanmanesh

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427475516

Jacob Roshanmanesh is a Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014
Specialties on file
2

Practice location Address checks out

620 W Edison Rd Ste 110
Mishawaka, IN 46545-2784
Phone: (574) 258-1100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 01081681A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427475516
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2014
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021
Mailing address620 W Edison Rd Ste 110, Mishawaka, IN 46545-2784

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