Provider Demographics
NPI:1982215992
Name:ROSHAN T MELVANI MD INC
Entity Type:Organization
Organization Name:ROSHAN T MELVANI MD INC
Other - Org Name:DESERT ORTHOPAEDIC AND RHEUMATOLOGIC INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:HORDGE-PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-491-9165
Mailing Address - Street 1:12677 HESPERIA RD STE 140
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-7735
Mailing Address - Country:US
Mailing Address - Phone:760-962-1150
Mailing Address - Fax:760-962-1155
Practice Address - Street 1:12677 HESPERIA RD STE 140
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-7735
Practice Address - Country:US
Practice Address - Phone:760-962-1150
Practice Address - Fax:760-962-1155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FM9285885OtherDEA
CAFM8387943OtherDEA