Individual
JAYANTHI CHANDRASEKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28411 NORTHWESTERN HWY STE 1050, SOUTHFIELD, MI 48034
(855) 442-2552
(247) 354-4807
Mailing address
28411 NORTHWESTERN HWY STE 1050, SOUTHFIELD, MI 48034-5529
(855) 442-2552
(247) 354-4807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301111660
MI
207R00000X
Internal Medicine Physician
57.024105
OH
Other
Enumeration date
09/11/2014
Last updated
06/11/2018
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