Individual
DR. JAYASHREE VASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 FORD PL, DETROIT, MI 48202-3450
(313) 874-6677
Mailing address
C203 KSR GREEN VALLEY SUBSTATION ROAD, NEAR R & B GUEST HOUSE, MADHAVADHARA, VISHAKAPATNAM, ANDHRA PRADESH 53001-8
(248) 293-2830
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01088785A
IN
208000000X
Pediatrics Physician
4301085953
MI
Other
Enumeration date
05/16/2007
Last updated
02/12/2024
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