NPI 1417483900 · live from the CMS NPI Registry
Sara Khanipour Roshan, M.D.
Radiology, Diagnostic Radiology in Newark, DE. National Provider Identifier 1417483900, active.
NPI record
| NPI | 1417483900 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 4755 Ogletown Stanton Rd, Newark, DE 19718 |
| Practice phone | 302-733-1806 |
| Mailing address | 200 1st St Sw, Rochester, MN 55905 |
| Enumerated | May 3, 2017 |
| Last updated | January 16, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 71368 (MN) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | C1-0026115 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.