MEDICARE: DR. HARESH JANI 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	HJ4301064728	MI
2	207RC0000X	Cardiovascular Disease Physician	HJ4301064728	MI

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	:	1760486583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARESH JANI M.D.

Provider Business Mailing Address
First Line	:	5894 MARENGO ST
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-8315
Country	:	US
Telephone Number	:	517-787-7844
Fax Number	:	517-783-5044

Provider Business Practice Location Address
First Line	:	2575 SPRING ARBOR RD
Second Line	:	STE 400
City	:	JACKSON
State	:	MI
Zip	:	49203-3652
Country	:	US
Telephone Number	:	517-787-7844
Fax Number	:	517-783-5044

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	11/01/2021

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