Individual
RUCHA P JIYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
665 BAY ROAD, UNIT B, DOVER, DE 19901
(302) 744-9310
(302) 744-9312
Mailing address
640 S STATE ST # MC3055, DOVER, DE 19901-3530
(302) 744-9310
(302) 744-9312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD490096
PA
207RG0100X
Gastroenterology Physician
Primary
C1-0029554
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15110161
CAQH
—
Enumeration date
04/11/2017
Last updated
05/19/2026
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