Individual
DR. GHASSAN M JANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
929 RIDGE RD, SUITE 5, MUNSTER, IN 46321-1751
(219) 836-2000
Mailing address
200 E 89TH AVE, SUITE 2A, MERRILLVILLE, IN 46410-7319
(219) 736-2800
(219) 736-6680
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01040756
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000259103
ANTHEM
IN
01
—
000000259103
UNICARE
—
05
—
100465900
—
IN
01
—
238806
WELLCARE
—
01
—
91115213
BLUE CROSS/BLUE SHIELD
IL
01
—
9250110
ADVOCATE PHO
—
01
—
P00020073
TRAVELERS MEDICARE
—
Enumeration date
12/30/2005
Last updated
02/18/2013
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