Provider Demographics
NPI:1942299458
Name:JANI, ALPA L (MD)
Entity Type:Individual
Prefix:DR
First Name:ALPA
Middle Name:L
Last Name:JANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5300 WESTVIEW DR STE 102
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-8372
Mailing Address - Country:US
Mailing Address - Phone:240-831-4743
Mailing Address - Fax:240-831-4539
Practice Address - Street 1:5300 WESTVIEW DR STE 102
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-8372
Practice Address - Country:US
Practice Address - Phone:240-831-4743
Practice Address - Fax:240-831-4539
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2020-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0061753207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD407046100Medicaid
MD681MK472Medicare PIN
MDH93106Medicare UPIN