Pallavi Jasti in Clinton Twp - Internal Medicine
Pallavi Jasti - NPI 1417123977
Pallavi Jasti is a Internal Medicine in Clinton Twp, Michigan. Pallavi Jasti practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Pallavi Jasti is 1417123977. The last update date is 2020-08-31.
Pallavi Jasti's current location address is 15855 19 Mile Rd, Clinton Twp, Michigan. You can contact this provider via phone number 5862632506. The mailing address for Pallavi Jasti is 15855 19 Mile Rd, Clinton Twp, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pallavi Jasti |
|---|---|
| Address | 15855 19 Mile Rd, Clinton Twp, Michigan |
| Phone Number | 5862632506 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1417123977 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2020-08-31 |
Provider Mailing Address Detail
| Address | 15855 19 Mile Rd |
|---|---|
| City | Clinton Twp |
| State | Michigan (MI) |
| Post Code | 480383504 |
| Phone Number | 5862632506 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 4301082244 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4301082244 | MI | STATE LICENSE | |
| 930080 | MI | BCBSM | |
| 5315027169 | MI | CONTROLLED DRUG LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pallavi Jasti by the Centers for Medicare & Medicaid Services?
The Pallavi Jasti has been issued the NPI (National Provider Identifier) 1417123977, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Pallavi Jasti's facilities are situated?
The facilities of Pallavi Jasti are physically located at the following address: 15855 19 Mile Rd, Clinton Twp, MI, 480383504.
What is Pallavi Jasti's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pallavi Jasti's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Pallavi Jasti receive its 1417123977 assignment from the Centers for Medicare & Medicaid Services?
The Pallavi Jasti was assigned its 1417123977 by the Centers for Medicare & Medicaid Services on 2008-05-05.
As of what date were the details related to Pallavi Jasti most recently updated or revised?
The information pertaining to Pallavi Jasti, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-31.
NPI Number: 1568462117
Address: Urb Parque Central Edif Medico, San Juan, PR
NPI Number: 1417904103
Address: 645 W Bath Rd, Cuyahoga Falls, OH