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:
Health care specialties
| Specialty | Code | License # | 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 8 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417123977 | NPPES |
| Michigan | Other | 4301082244 | STATE LICENSE |
| Michigan | Other | 5315027169 | STATE LICENSE |
| Michigan | Other | 0930080 | STATE LICENSE |
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