Provider Demographics
NPI:1396822581
Name:GOWANI, JEHANGIR W (MD)
Entity Type:Individual
Prefix:
First Name:JEHANGIR
Middle Name:W
Last Name:GOWANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8845 GARY BURNS DR STE 180
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-2548
Mailing Address - Country:US
Mailing Address - Phone:469-972-7860
Mailing Address - Fax:
Practice Address - Street 1:8845 GARY BURNS DR STE 180
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-2548
Practice Address - Country:US
Practice Address - Phone:469-972-7860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP22502080S0012X, 207RS0012X, 208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOK403220Medicare PIN
11SCFNJMedicare PIN
I42718Medicare UPIN