Provider Demographics
NPI:1184627887
Name:JANI, SHARMILA (DPM)
Entity Type:Individual
Prefix:DR
First Name:SHARMILA
Middle Name:
Last Name:JANI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:31 SHERBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-2815
Mailing Address - Country:US
Mailing Address - Phone:973-387-0130
Mailing Address - Fax:973-387-0139
Practice Address - Street 1:31 SHERBROOKE DR
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2815
Practice Address - Country:US
Practice Address - Phone:973-387-0130
Practice Address - Fax:973-387-0139
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD2136213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist