Healthcare Provider Details

I. General information

NPI: 1457261992
Provider Name (Legal Business Name): JAGANI MEDICAL SERVICES P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 S ARIZONA AVE
YUMA AZ
85364-8520
US

IV. Provider business mailing address

2515 S 34TH AVE
YUMA AZ
85364-0700
US

V. Phone/Fax

Practice location:
  • Phone: 317-354-5611
  • Fax:
Mailing address:
  • Phone: 317-354-5611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAVI PANKAJBHAI JAGANI
Title or Position: PHYSICIAN
Credential: MD
Phone: 317-354-5611