MEDICARE: LASHA JAIANI 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	207R00000X	Internal Medicine Physician	251315	NY
2	207N00000X	Dermatology Physician	251315-1	NY

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	:	1538289988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LASHA JAIANI M.D.

Provider Business Mailing Address
First Line	:	969 MAIN ST STE D
Second Line	:
City	:	FISHKILL
State	:	NY
Zip	:	12524-1791
Country	:	US
Telephone Number	:	845-896-7730
Fax Number	:	845-896-0273

Provider Business Practice Location Address
First Line	:	969 MAIN ST STE D
Second Line	:
City	:	FISHKILL
State	:	NY
Zip	:	12524-1791
Country	:	US
Telephone Number	:	845-896-7730
Fax Number	:	845-896-7758

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

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	02/11/2026

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