Jayasvasti, Vachareeporn Tahki
Jayasvasti, Vachareeporn Tahki is an individual health care provider with primary practice located at 3100 Cross Creek Pkwy Suite 220, Auburn Hills MI 48326-2774. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jayasvasti, Vachareeporn Tahki can be contacted via phone (248) 377-0600.Contact Information
Primary practice address
3100 Cross Creek Pkwy Suite 220
Auburn Hills MI 48326-2774
Phone: (248) 377-0600
Fax: (248) 377-0606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101014399 | Michigan |
Profile Details
| NPI number | 1801953492 |
|---|---|
| LBN Legal business name | Jayasvasti, Vachareeporn Tahki |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Sep 19th, 2012 - about 12 years 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 | 1801953492 | NPPES |
| Michigan | MEDICAID | 4976294 |
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