Provider Demographics
NPI:1457914616
Name:WADIWALA, JANVI HEMANTKUMAR (MD)
Entity Type:Individual
Prefix:
First Name:JANVI
Middle Name:HEMANTKUMAR
Last Name:WADIWALA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:233 NORTH HOUSTON RD
Mailing Address - Street 2:SUITE 140E
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093
Mailing Address - Country:US
Mailing Address - Phone:478-975-6880
Mailing Address - Fax:478-975-6869
Practice Address - Street 1:100 FRIST CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-3578
Practice Address - Country:US
Practice Address - Phone:706-494-2100
Practice Address - Fax:478-975-6869
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-15
Last Update Date:2022-09-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA91251207QA0505X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine