Jani, Ketan
Jani, Ketan is an sole proprietor health care provider with primary practice located at 3777 Crossings Dr , Prescott AZ 86305-7121. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Jani, Ketan can be contacted via phone (928) 771-9693.Contact Information
Primary practice address
3777 Crossings Dr
Prescott AZ 86305-7121
Phone: (928) 771-9693
Fax: (928) 708-0505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 30908 | Arizona |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 30908 | Arizona |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 30908 | Arizona |
Profile Details
| NPI number | 1679575054 |
|---|---|
| LBN Legal business name | Jani, Ketan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jan 25th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679575054 | NPPES |
| Arizona | Other | P00063201 | MEDICARE RAILROAD CARRIER |
| Arizona | MEDICAID | 764606 | MEDICARE RAILROAD CARRIER |
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