Provider Demographics
NPI:1881674711
Name:JANA, RAJIV K (DO)
Entity Type:Individual
Prefix:DR
First Name:RAJIV
Middle Name:K
Last Name:JANA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3824 NORTHERN PIKE
Mailing Address - Street 2:STE 700
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2141
Mailing Address - Country:US
Mailing Address - Phone:412-457-0060
Mailing Address - Fax:
Practice Address - Street 1:4341 NORTHERN PIKE
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2807
Practice Address - Country:US
Practice Address - Phone:412-816-2273
Practice Address - Fax:412-816-2329
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS012092207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019689690001Medicaid
PA0019689690001Medicaid
PAP00144274Medicare PIN
PA070804R7RMedicare PIN
PACG1496Medicare PIN