Provider Demographics
NPI:1194215079
Name:JANI, RAJA NIRANJAN (DO)
Entity type:Individual
Prefix:DR
First Name:RAJA
Middle Name:NIRANJAN
Last Name:JANI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 OLD SHORT HILLS RD APT 161
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1009
Mailing Address - Country:US
Mailing Address - Phone:443-812-2797
Mailing Address - Fax:
Practice Address - Street 1:115 OLD SHORT HILLS RD APT 161
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1009
Practice Address - Country:US
Practice Address - Phone:443-812-2797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-16
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program