Individual
CHRISTOPHER D JANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19550 E 39TH ST S STE 215, INDEPENDENCE, MO 64057-2326
(816) 461-6837
(816) 833-1760
Mailing address
19550 E 39TH ST S STE 215, INDEPENDENCE, MO 64057-2326
(816) 461-6837
(816) 833-1760
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2023031810
MO
207RI0011X
Interventional Cardiology Physician
Primary
2023031810
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
06/01/2011
Last updated
10/01/2025
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