Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | D0061567 | MD |
NPI | 1144283359 |
---|---|
Provider Name | Dr. Mihir M Jani |
First Address | Baltimore, MD 21297-3086 |
Second Address | Frederick, MD 21701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 24/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2124790 | MAMSI (01) | MD |
3539755 | AETNA USHEALTHCARE (01) | MD |
763901500 | (05) | MD |
I11938 | (02) | MD |
KP74OR | CAREFIRST BC/BS (01) | MD |