Provider Demographics
NPI:1134118375
Name:JANI, RASIKLAL M (DDS)
Entity Type:Individual
Prefix:DR
First Name:RASIKLAL
Middle Name:M
Last Name:JANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:RAS
Other - Middle Name:M
Other - Last Name:JANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:3500 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3316
Mailing Address - Country:US
Mailing Address - Phone:412-682-3858
Mailing Address - Fax:412-682-5152
Practice Address - Street 1:3500 5TH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3337
Practice Address - Country:US
Practice Address - Phone:412-682-3858
Practice Address - Fax:412-682-5152
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020605L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0541305Medicaid