Individual
TODD J JANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01053537A
IN
2084N0400X
Neurology Physician
28416
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811063100
—
IA
05
—
2079723
—
IA
05
—
300074870
—
IN
01
—
P00424511
RR MEDICARE
IA
Enumeration date
11/28/2006
Last updated
05/15/2023
Update your record
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