Provider Demographics
NPI:1316102767
Name:JASANI, ROJINA HABIB (MD)
Entity type:Individual
Prefix:
First Name:ROJINA
Middle Name:HABIB
Last Name:JASANI
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 1:8455 9TH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-8021
Mailing Address - Country:US
Mailing Address - Phone:409-729-5433
Mailing Address - Fax:409-729-1083
Practice Address - Street 1:8455 9TH AVE STE A
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-8021
Practice Address - Country:US
Practice Address - Phone:409-729-5433
Practice Address - Fax:409-729-1083
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8372207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1316113Medicaid
LA4N319Medicare PIN