Provider Demographics
NPI:1376326157
Name:MILANI INFUSIONS
Entity Type:Organization
Organization Name:MILANI INFUSIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAI
Authorized Official - Middle Name:MATHEW
Authorized Official - Last Name:THANKACHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-324-9300
Mailing Address - Street 1:4533 MACARTHUR BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2061
Mailing Address - Country:US
Mailing Address - Phone:949-216-0117
Mailing Address - Fax:
Practice Address - Street 1:4533 MACARTHUR BLVD STE A109
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2059
Practice Address - Country:US
Practice Address - Phone:949-216-0117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion