Provider Demographics
NPI:1316362213
Name:JANI, DARSHINI (DR)
Entity Type:Individual
Prefix:
First Name:DARSHINI
Middle Name:
Last Name:JANI
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3463 PALISADE PARK CT
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-6698
Mailing Address - Country:US
Mailing Address - Phone:678-232-8161
Mailing Address - Fax:
Practice Address - Street 1:3463 PALISADE PARK CT
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-6698
Practice Address - Country:US
Practice Address - Phone:678-232-8161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-28
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH026147183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist