Individual
JAY KINARIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-1389
Mailing address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-1389
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
89075
GA
2084N0400X
Neurology Physician
MD471023
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103785450
—
PA
Enumeration date
04/05/2016
Last updated
10/02/2022
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