Provider Demographics
NPI:1396742714
Name:JANA, BAGI RP (MD)
Entity type:Individual
Prefix:DR
First Name:BAGI
Middle Name:RP
Last Name:JANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BAGI
Other - Middle Name:R
Other - Last Name:JANARTHANAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0565
Mailing Address - Country:US
Mailing Address - Phone:409-772-1164
Mailing Address - Fax:409-772-3533
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0565
Practice Address - Country:US
Practice Address - Phone:409-772-1164
Practice Address - Fax:409-772-3533
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229492207RH0003X
TXN7928207RH0003X
FLME98680207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX219619802Medicaid
NY02461383Medicaid
TX219619803OtherCSHCN TPI