MEDICARE: DR. JAHAN IMANI 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
1	207R00000X	Internal Medicine Physician	260615	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063414969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAHAN IMANI MD

Provider Business Mailing Address
First Line	:	PO BOX 9519
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84409-0519
Country	:	US
Telephone Number	:	801-475-0399
Fax Number	:	801-475-7322

Provider Business Practice Location Address
First Line	:	5315 ADAMS AVE PKWY
Second Line	:	STE A
City	:	WASHINGTON TERRACE
State	:	UT
Zip	:	84405-4766
Country	:	US
Telephone Number	:	801-475-0399
Fax Number	:	801-475-7322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	04/19/2016

Similar Medicare Providers

1366560484 — JAHAN IMANI MD PC
Practice Location Address:

5315 ADAMS AVE PKWY , SUITE A
WASHINGTON TERRACE, UT
84405-4766

Practice Phone: 801-475-5950
Practice Fax: 801-475-7322

1679836951 — MR. JARED D ABRAMS PA-C
Practice Location Address:

5315 ADAMS AVE PKWY , SUITE A
WASHINGTON TERRACE, UT
84405-4766

Practice Phone: 801-476-4448
Practice Fax: 801-476-4449

1053308452 — SKYLINE PAIN CLINIC
Practice Location Address:

5315 ADAMS AVE PKWY , SUITE A
OGDEN, UT
84405-4766

Practice Phone: 801-476-4448
Practice Fax: 801-476-4449

1356446637 — BIO-MEDICAL APPLICATIONS OF MARYLAND, INC.
Practice Location Address:

8507 OXON HILL RD STE 100
FORT WASHINGTON, MD
20744-4766

Practice Phone: 301-686-0802
Practice Fax: 301-686-0807

1922453778 — HARBORVIEW URGENT CARE
Practice Location Address:

8507 OXON HILL RD , SUITE 102
FORT WASHINGTON, MD
20744-4766

Practice Phone: 301-751-5880
Practice Fax:

1033661434 — MS. VERONICA MICHELLE DILLARD DSW, LCSW
Practice Location Address:

8507 OXON HILL RD
FORT WASHINGTON, MD
20744-4766

Practice Phone: 804-714-9256
Practice Fax: 415-520-6633

Directions to “ DR. JAHAN IMANI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.