Jasti, Pallavi

Jasti, Pallavi is an sole proprietor health care provider with primary practice located at 15855 19 Mile Rd , Clinton Twp MI 48038-3504. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Jasti, Pallavi can be contacted via phone (586) 263-2506.

Contact Information

Primary practice address
15855 19 Mile Rd Clinton Twp MI 48038-3504
Phone: (586) 263-2506
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301082244 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301082244 Michigan

Profile Details

NPI number 1417123977
LBN Legal business name Jasti, Pallavi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2008
Last updated Mar 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417123977 NPPES
Michigan Other 4301082244 STATE LICENSE
Michigan Other 5315027169 STATE LICENSE
Michigan Other 0930080 STATE LICENSE

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