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Individual

SALLU JABATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2080 44TH ST SE STE 120, KENTWOOD, MI 49508-5299
(616) 500-0977
Mailing address
2080 44TH ST SE STE 120, KENTWOOD, MI 49508-5299
(616) 500-0977

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301510992
MI
207L00000X
Anesthesiology Physician
4301514834
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301510992
MI

Other

Enumeration date
03/28/2019
Last updated
06/09/2025
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