Individual
JAMSHID BHAVNAGRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43211 DALCOMA DR, SUITE 4, CLINTON TOWNSHIP, MI 48038-6309
(586) 228-7075
(586) 228-7095
Mailing address
43211 DALCOMA DR, SUITE 4, CLINTON TOWNSHIP, MI 48038-6309
(586) 228-7075
(586) 228-7095
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301040663
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207V00000X
TAXONOMY
MI
01
—
4301040663
LICENSE
MI
Enumeration date
07/15/2006
Last updated
07/08/2007
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