Provider Demographics
NPI:1114071776
Name:SAYANI, JAIRAJ (MD, MBA, MS, FAAFP)
Entity Type:Individual
Prefix:DR
First Name:JAIRAJ
Middle Name:
Last Name:SAYANI
Suffix:
Gender:M
Credentials:MD, MBA, MS, FAAFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15800 MIDWAY RD
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4259
Mailing Address - Country:US
Mailing Address - Phone:972-720-7916
Mailing Address - Fax:972-720-7778
Practice Address - Street 1:1006 FULTON ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201
Practice Address - Country:US
Practice Address - Phone:940-369-1380
Practice Address - Fax:817-806-5538
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5468207Q00000X
OH35087911207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2722736Medicaid
OHSA2028541Medicare PIN