Individual
DR. SAROJA S JAYAKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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
SJ033040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0605047351
BLUE CROSS/BLUE SHIELD
MI
05
—
1938182
—
MI
01
—
SJ033040
LICENCE NUMBER
MI
Enumeration date
07/02/2006
Last updated
03/07/2023
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