MEDICARE: ANIL H. JHANGIANI M.D.

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	207RC0000X	Cardiovascular Disease Physician	35-07-2547	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00477084	OTHER	OH	RAILROAD MEDICARE

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	:	1114922515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANIL H. JHANGIANI M.D.

Provider Business Mailing Address
First Line	:	325 N MAIN ST
Second Line	:	STE. 206
City	:	SPRINGBORO
State	:	OH
Zip	:	45066-8005
Country	:	US
Telephone Number	:	937-619-0101
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 N MAIN ST
Second Line	:	STE. 206
City	:	SPRINGBORO
State	:	OH
Zip	:	45066-8005
Country	:	US
Telephone Number	:	937-619-0101
Fax Number	:	937-619-0408

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	08/30/2010

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Directions to “ ANIL H. JHANGIANI M.D.” Practice Location

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