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NPI Code Detail

MEDICARE: TANIYA JIWANI

MEDICARE: TANIYA JIWANI
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1801538582
Entity Type Code : Organization
Provider Name (Legal Business Name) : TANIYA JIWANI
Provider Business Mailing Address
First Line : 2011 HAMMONDS FERRY RD
Second Line :
City : HALETHORPE
State : MD
Zip : 21227-1721
Country : US
Telephone Number : 678-314-1745
Fax Number :
Provider Business Practice Location Address
First Line : 2011 HAMMONDS FERRY RD
Second Line :
City : HALETHORPE
State : MD
Zip : 21227-1721
Country : US
Telephone Number : 678-314-1745
Fax Number :
Authorized Official
Title or Position : SPEECH PATHOLOGIST
Name : TANIYA JIWANI
Credential : M.S., CCC-SLP
Telephone Number : 678-314-1745
Provider Enumeration Date : 04/12/2022
Last Update Date : 04/12/2022

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Directions to “TANIYA JIWANI ” Practice Location

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