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Organization

GS JAYAKAR MDPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAROJA S JAYAKAR M.D. (PRESIDENT)
(586) 775-6010
Entity
Organization

Contact information

Practice address
21610 E 9 MILE RD, SAINT CLAIR SHORES, MI 48080-1812
(586) 775-6010
Mailing address
21610 E 9 MILE RD, SAINT CLAIR SHORES, MI 48080-1812
(586) 775-6010

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1938182
MI
Enumeration date
07/01/2008
Last updated
07/01/2008
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