Surindar K Jolly in Wayne - Vascular Neurology

Surindar K Jolly - NPI 1164479911

Surindar K Jolly is a Vascular Neurology in Wayne, Michigan. Surindar K Jolly practices all healthcare services and medical treatments related to Vascular Neurology. The NPI Number for Surindar K Jolly is 1164479911. The last update date is 2008-05-05.

Surindar K Jolly's current location address is 4020 Venoy Rd, Wayne, Michigan. You can contact this provider via phone number 7347216001 and fax number 7347216003. The mailing address for Surindar K Jolly is 4020 Venoy Rd, Wayne, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Surindar K Jolly
Address 4020 Venoy Rd, Wayne, Michigan
Phone Number 7347216001
Fax Number 7347216003
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1164479911
Provider Enumeration Date 2006-05-27
Last Updated Date 2008-05-05

Provider Mailing Address Detail

Address 4020 Venoy Rd
City Wayne
State Michigan (MI)
Post Code 481841869
Phone Number 7347216001
Fax Number 7347216003

Provider's Primary Taxonomy Detail

Speciality Vascular Neurology
Taxonomy 2084V0102X
Licence No 55782
Definition:
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a lar

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1308261622 MI BLUE CROSS BLUE SHIELD
1308209371 MI BLUE CROSS BLUE SHIELD
2918602 MI --

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FAQs about Surindar K Jolly

What is the unique provider identifier assigned to Surindar K Jolly?

The Surindar K Jolly has been issued the NPI (National Provider Identifier) 1164479911 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Surindar K Jolly is physically located?

The Surindar K Jolly is situated at the following address: 4020 Venoy Rd, Wayne, MI 481841869.

What is Surindar K Jolly's area of expertise and its corresponding taxonomy classification?

The Surindar K Jolly's field of specialization is Vascular Neurology, and it falls under the taxonomy code 2084V0102X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1164479911 to Surindar K Jolly?

The Surindar K Jolly received its 1164479911 assignment from the Centers for Medicare & Medicaid Services on 2006-05-27.

As of what date were the details related to Surindar K Jolly most recently updated or revised?

The information pertaining to Surindar K Jolly, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-05.

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