Basic Information
Provider Information
NPI: 1972535060
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GIYANANI
FirstName: SUNITA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 940 MCCLAIN DR
Address2:  
City: VINELAND
State: NJ
PostalCode: 083616138
CountryCode: US
TelephoneNumber: 8566915262
FaxNumber:  
Practice Location
Address1: 70 COHANSEY ST
Address2:  
City: BRIDGETON
State: NJ
PostalCode: 083021918
CountryCode: US
TelephoneNumber: 8564514700
FaxNumber: 8564510029
Other Information
ProviderEnumerationDate: 07/07/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMA02682200NJY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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