Provider Demographics
NPI:1386368538
Name:MAJANI, ALBERT ASWANI (TBIS)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:ASWANI
Last Name:MAJANI
Suffix:
Gender:M
Credentials:TBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 PARKWAY DR NE APT 201
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-2755
Mailing Address - Country:US
Mailing Address - Phone:616-279-6918
Mailing Address - Fax:
Practice Address - Street 1:1350 PARKWAY DR NE APT 201
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-2755
Practice Address - Country:US
Practice Address - Phone:616-279-6918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2042247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty