Provider Demographics
NPI:1447353446
Name:JANANI WOMENS CENTER INC
Entity type:Organization
Organization Name:JANANI WOMENS CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BALASUBRAMANIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHITRABANU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-452-6060
Mailing Address - Street 1:1470 E VALENTINE CIRCLE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-3155
Mailing Address - Country:US
Mailing Address - Phone:330-452-6060
Mailing Address - Fax:330-452-6065
Practice Address - Street 1:1470 E VALENTINE CIRCLE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-3155
Practice Address - Country:US
Practice Address - Phone:330-452-6060
Practice Address - Fax:330-452-6065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207RG0100X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2086657Medicaid
OH=========026OtherCARESOURCE
OH9304581Medicare PIN