Jani Widjaja in Indianapolis - Diagnostic Radiology
Jani Widjaja - NPI 1902881287
Jani Widjaja is a Diagnostic Radiology in Indianapolis, Indiana. Jani Widjaja practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jani Widjaja is 1902881287. The last update date is 2022-04-06.
Jani Widjaja's current location address is Po Box 1746, Indianapolis, Indiana. You can contact this provider via phone number 8773834442. The mailing address for Jani Widjaja is Po Box 1746, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jani Widjaja |
|---|---|
| Address | Po Box 1746, Indianapolis, Indiana |
| Phone Number | 8773834442 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902881287 |
|---|---|
| Provider Enumeration Date | 2005-12-09 |
| Last Updated Date | 2022-04-06 |
Provider Mailing Address Detail
| Address | Po Box 1746 |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462061746 |
| Phone Number | 8773834442 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 49221 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000890447A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jani Widjaja by the Centers for Medicare & Medicaid Services?
The Jani Widjaja has been assigned the NPI (National Provider Identifier) 1902881287. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jani Widjaja's facilities are geographically located?
The facilities of Jani Widjaja are physically situated at the following location: Po Box 1746, Indianapolis, IN, 462061746.
What is Jani Widjaja's area of expertise and its corresponding taxonomy classification?
The Jani Widjaja's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1902881287 to Jani Widjaja?
The Centers for Medicare & Medicaid Services assigned the 1902881287 to Jani Widjaja on 2005-12-09.
When was the information regarding Jani Widjaja most recently updated?
The details pertaining to the Jani Widjaja, including its address, specialty, and other relevant information, were last refreshed on 2022-04-06.
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