Provider Demographics
NPI:1093030827
Name:ANIL H. JHANGIANI MD LLC
Entity Type:Organization
Organization Name:ANIL H. JHANGIANI MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:H
Authorized Official - Last Name:JHANGIANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-623-9078
Mailing Address - Street 1:2246 ANNANDALE PL
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-9123
Mailing Address - Country:US
Mailing Address - Phone:937-623-9078
Mailing Address - Fax:937-376-9075
Practice Address - Street 1:4172 INDIAN RIPPLE RD
Practice Address - Street 2:SUITE B
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440-3285
Practice Address - Country:US
Practice Address - Phone:937-623-9078
Practice Address - Fax:937-376-9075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty