Individual
MR. MUKESH J JHAVERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 GROVE ST, MIDDLETOWN, NY 10940-4806
(845) 343-4677
(845) 343-5249
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2141
(845) 342-4774
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
139330
NY
2084P0800X
Psychiatry Physician
139330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00716129
—
NY
05
—
0622508
—
NJ
Enumeration date
08/30/2005
Last updated
08/24/2023
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