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Individual

ROSHAN J LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1221 PLEASANT ST, SUITE 300, DES MOINES, IA 50309-1423
(515) 241-4200
(515) 241-4083
Mailing address
1221 PLEASANT ST, SUITE 300, DES MOINES, IA 50309-1423
(515) 241-4200
(515) 241-4083

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
PENDING
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316188261
IA
01
P00741085
RR MEDICARE
IA
Enumeration date
03/23/2009
Last updated
09/28/2009
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