Provider Demographics
NPI:1417270869
Name:JHANJI, VIKRAM (PT)
Entity Type:Individual
Prefix:
First Name:VIKRAM
Middle Name:
Last Name:JHANJI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 CORAL BAY DR
Mailing Address - Street 2:APT L
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-5173
Mailing Address - Country:US
Mailing Address - Phone:412-576-5184
Mailing Address - Fax:
Practice Address - Street 1:9505 E 59TH ST
Practice Address - Street 2:SUITE B1
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46216-1025
Practice Address - Country:US
Practice Address - Phone:317-542-7680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05010071A225100000X
MI5501014651225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist