Provider Demographics
NPI:1023278413
Name:JANANI, JIGNA NARENDRA (MD)
Entity type:Individual
Prefix:
First Name:JIGNA
Middle Name:NARENDRA
Last Name:JANANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JIGNA
Other - Middle Name:NARENDRA
Other - Last Name:MAKATI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:793 W STATE STREET
Mailing Address - Street 2:ROOM 3N09
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43222
Mailing Address - Country:US
Mailing Address - Phone:614-234-3824
Mailing Address - Fax:614-234-3801
Practice Address - Street 1:793 W STATE ST
Practice Address - Street 2:ROOM 3N09
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1551
Practice Address - Country:US
Practice Address - Phone:614-234-3824
Practice Address - Fax:614-234-3801
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH097221207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH056280Medicare PIN