Individual
MIAN A. JAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
531 MAPLE AVE., WEST CHESTER, PA 19380-4416
(610) 692-4382
(610) 430-6820
Mailing address
531 MAPLE AVENUE, WEST CHESTER, PA 19380-4416
(610) 692-4382
(610) 430-6820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD028956
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001395524
—
PA
01
—
001551416
UNITED HEALTHCARE
PA
01
—
011040000
KEYSTONE
PA
01
—
060027745
TRAVELERS MEDICARE
PA
05
—
1395524
—
PA
01
—
509943
HIGHMARK
PA
01
—
8994406
CIGNA
PA
01
—
E69432
MEDICARE UPIN
—
01
—
P2808773
OXFORD
PA
Enumeration date
06/05/2006
Last updated
03/21/2016
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