MEDICARE: HARESH JANI MD PC

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	HJ064728	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0603845542	OTHER	MI	BCBSM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770758872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARESH JANI MD PC

Provider Business Mailing 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

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	:	OWNER
Name	:	DR. HARESH JANI
Credential	:	MD
Telephone Number	:	517-787-7844

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	06/14/2009

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