MEDICARE: JAYA KARNANI MD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	A89868	CA

General Provider Information

NPI Number	:	1245412261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAYA KARNANI MD, PC

Provider Business Mailing Address
First Line	:	2382 MARITIME DR
Second Line	:	SUITE 100
City	:	ELK GROVE
State	:	CA
Zip	:	95758-3639
Country	:	US
Telephone Number	:	916-691-6622
Fax Number	:	916-691-6629

Provider Business Practice Location Address
First Line	:	2382 MARITIME DR
Second Line	:	SUITE 100
City	:	ELK GROVE
State	:	CA
Zip	:	95758-3639
Country	:	US
Telephone Number	:	916-691-6622
Fax Number	:	916-691-6629

Authorized Official
Title or Position	:	CEO
Name	:	JAYA KARNANI
Credential	:	MD
Telephone Number	:	916-691-6622

Provider Enumeration Date	:	11/30/2007
Last Update Date	:	11/30/2007

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