Jay G. Wani, M.D., Inc.

LBN: Jay G. Wani, M.D., Inc.
Jay G. Wani, M.D., Inc. is an health care organization with primary practice located at 1401 Spanos Ct Suite 102, Modesto CA 95355-2810. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jay G. Wani, M.D., Inc. can be contacted via phone (209) 525-3113, or through Wani, Jay G via phone (209) 525-3113.

Contact Information

Primary practice address
1401 Spanos Ct Suite 102 Modesto CA 95355-2810
Phone: (209) 525-3113
Fax: (209) 525-3114
Website:
Map and Directions
Authorized official contact:
Name: Wani, Jay G Doctor of Medicine (MD)
Phone: (209) 525-3113

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A32304 California

Profile Details

NPI number 1215122452
LBN Legal business name Jay G. Wani, M.D., Inc.
DBA Doing business as
Authorized official Wani, Jay G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2007
Last updated Sep 11th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215122452 NPPES
California MEDICAID 8726716

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