| Dr Ajaykumar Jani, MD | |
|
701 W 5th St, Odessa, TX 79763-4206 | |
| (432) 335-2222 | |
| (432) 335-5354 |
| Full Name | Dr Ajaykumar Jani |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 701 W 5th St, Odessa, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326092941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | T2637 (Texas) | Primary |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ajaykumar Jani, MD 10501 Troy Ave, Lubbock, TX 79424-7899 Ph: Not Available | Dr Ajaykumar Jani, MD 701 W 5th St, Odessa, TX 79763-4206 Ph: (432) 335-2222 |
Dr. Fakeha Masood, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 3001 Jbs Pkwy Ste 100, Odessa, TX 79762 Phone: 432-640-6772 Fax: 432-640-4708 |
Dr. Carlos Nieto Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1500 Fax: 432-335-1537 |
Dr. Stephanie Villarreal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-2222 |
Olajide A Sowemimo, Pediatrics Medicare: Medicare Enrolled Practice Location: Texas Tech University Health Sciences Complex, 701 West 5th Street, Odessa, TX 79763 Phone: 432-703-6310 |
Manisha Mahadev Desai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 29 Dolores Ct, Odessa, TX 79765 Phone: 432-561-8797 |
Randa N. A Othman, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1421 Fax: 432-335-1807 |
Manjula Mudduluru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5310 Fax: 432-335-5354 |