Individual
ROSHAN THADANI MELVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12677 HESPERIA RD STE 140, VICTORVILLE, CA 92395-7735
(760) 962-1150
(760) 962-1155
Mailing address
12677 HESPERIA RD STE 140, VICTORVILLE, CA 92395-7735
(760) 962-1150
(760) 962-1155
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101266844
VA
207X00000X
Orthopaedic Surgery Physician
Primary
A168004
CA
207X00000X
Orthopaedic Surgery Physician
ME143651
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A168004
CA LICENSE
CA
Enumeration date
04/08/2014
Last updated
06/03/2021
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