Organization
NELLI MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JINSON JOSE MD (PRESIDENT / OWNER)
(248) 299-9850
Entity
Organization
Contact information
Practice address
1349 S ROCHESTER RD, SUITE 115, ROCHESTER HILLS, MI 48307-3150
(248) 759-4852
(248) 299-9860
Mailing address
5827 CALGARY CT, STERLING HEIGHTS, MI 48314-3070
(248) 759-4852
(248) 299-9860
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301085938
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301085938
STATE LICENSE
MI
01
—
5315044008
CDS
MI
Enumeration date
02/13/2014
Last updated
03/07/2023
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