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Individual
DR. PALLAVI JASTI
Active
Individual
DR. PALLAVI JASTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301082244
MI
207RH0003X
Hematology & Oncology Physician
Primary
4301082244
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0930080
BCBSM
MI
01
—
4301082244
STATE LICENSE
MI
01
—
5315027169
CONTROLLED DRUG LICENSE
MI
Enumeration date
05/05/2008
Last updated
03/22/2024
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