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NPI Code Detail

MEDICARE: SHIVANI UTPAL JANI MD

MEDICARE: SHIVANI UTPAL JANI MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine Physician84017CT

General Provider Information

NPI Number : 1396521951
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIVANI UTPAL JANI MD
Provider Business Mailing Address
First Line : 1770 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10457-5524
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1650 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10457-7679
Country : US
Telephone Number : 551-341-9323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2023
Last Update Date : 03/30/2026

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