Provider Demographics
NPI:1215959879
Name:GIRI, JANAKI (MD)
Entity type:Individual
Prefix:MRS
First Name:JANAKI
Middle Name:
Last Name:GIRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 PERRINE RD
Mailing Address - Street 2:200 PERRINE RD STE 210
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NV
Mailing Address - Zip Code:08857-2836
Mailing Address - Country:US
Mailing Address - Phone:732-525-0028
Mailing Address - Fax:732-525-2460
Practice Address - Street 1:200 PERRINE RD STE 210
Practice Address - Street 2:200 PERRINE RD STE 210
Practice Address - City:OLD BRIDGE
Practice Address - State:NV
Practice Address - Zip Code:08857-2836
Practice Address - Country:US
Practice Address - Phone:732-525-0028
Practice Address - Fax:732-525-2460
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04601500207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0951901Medicaid
NJ0951901Medicaid
488638Medicare ID - Type Unspecified