| Bhavin H. Jani Md Pc | |
|
868 Michael Etchison Rd Suite A Monroe GA 30655-8204 | |
| (770) 207-1316 | |
| (770) 217-6853 |
| Full Name | Bhavin H. Jani Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 868 Michael Etchison Rd, Monroe, Georgia |
| Authorized Official Name and Position | Bhavin H Jani (PHYSICIAN) |
| Authorized Official Contact | 7702071316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhavin H. Jani Md Pc 868 Michael Etchison Rd Suite A Monroe GA 30655-8204 Ph: (770) 207-1316 | Bhavin H. Jani Md Pc 868 Michael Etchison Rd Suite A Monroe GA 30655-8204 Ph: (770) 207-1316 |
| NPI Number | 1407947740 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 10/07/2009 |
| Medicare PECOS PAC ID | 9830184688 |
|---|---|
| Medicare Enrollment ID | O20080422000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407947740 | NPI | - | NPPES |
| 00768996A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 044496 (Georgia) | Primary |
| Provider Name | Bhavin H Jani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346337227 PECOS PAC ID: 8628156296 Enrollment ID: I20080422000824 |
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