Organization
JAIRAJ D MULCHANDANI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIRAJ D MULCHANDANI M.D. (OWNER)
(734) 641-3630
Entity
Organization
Contact information
Practice address
32320 MICHIGAN AVE, WAYNE, MI 48184-1423
(734) 641-3630
(734) 641-1520
Mailing address
32320 MICHIGAN AVE, WAYNE, MI 48184-1423
(734) 641-3630
(734) 641-1520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301039510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1398428
—
MI
Enumeration date
12/22/2009
Last updated
12/22/2009
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