Individual
JAVANSHIR JANANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5632 ANNAPOLIS RD, SUITE 4, BLADENSBURG, MD 20710-2213
(301) 864-7100
(301) 277-4495
Mailing address
PO BOX 59425, POTOMAC, MD 20859-9425
(301) 864-7100
(301) 277-4495
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D0018630
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0328-0001
CAREFIRST BLUE SHIELD
DC
01
—
05410
AMERIGROUP, INC.
MD
01
—
1800346
AMERICHOICE INC.
MD
01
—
4531J
CAREFIRST BLUESHIELD
MD
01
—
501377
NC PPO INC
MD
Enumeration date
06/16/2006
Last updated
11/20/2007
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