Provider Demographics
NPI:1700049285
Name:JANI, TAPAN (DO)
Entity Type:Individual
Prefix:DR
First Name:TAPAN
Middle Name:
Last Name:JANI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:16980 DALLAS PARKWASY
Mailing Address - Street 2:STE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248
Mailing Address - Country:US
Mailing Address - Phone:972-391-1915
Mailing Address - Fax:972-391-2061
Practice Address - Street 1:515 W MAYFIELD RD
Practice Address - Street 2:STE 201
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-2083
Practice Address - Country:US
Practice Address - Phone:817-784-1238
Practice Address - Fax:817-467-3083
Is Sole Proprietor?:No
Enumeration Date:2008-07-06
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125055420207R00000X
TXQ4992207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine