Basic Information
Provider Information
NPI: 1568749224
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JANI
FirstName: ALAP
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1251 SADLER DR STE 2100
Address2:  
City: SAN MARCOS
State: TX
PostalCode: 786668629
CountryCode: US
TelephoneNumber: 5123965603
FaxNumber:  
Practice Location
Address1: 4100 EVERETT DR STE 210
Address2:  
City: KYLE
State: TX
PostalCode: 786406315
CountryCode: US
TelephoneNumber: 5123965603
FaxNumber: 5124071480
Other Information
ProviderEnumerationDate: 11/09/2011
LastUpdateDate: 01/04/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD-17699HIN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XA117343CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000XR9266TXY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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