Organization
JAVANSHIR JANANI,M.D., P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVANSHIR JANANI MD (PHYSICIAN / OWNER)
(301) 864-7100
Entity
Organization
Contact information
Practice address
5632 ANNAPOLIS RD, SUITE 4, BLADENSBURG, MD 20710-2213
(301) 864-7100
Mailing address
PO BOX 59425, POTOMAC, MD 20859-9425
(301) 864-7100
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
CAREFIRST BLUESHIELD
DC
01
—
4531J
CAREFIRST BLUE SHIELD
MD
Enumeration date
11/14/2007
Last updated
11/14/2007
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