Individual
JANARDHAN RAO JAGINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 BEAUBIEN ST, CHILDREN'S HOSPITAL, 3RD FLOOR, DETROIT, MI 48201-2119
(313) 745-9048
(313) 993-3879
Mailing address
29120 FRANKLIN RD, SOUTHFIELD, MI 48034-1105
(248) 355-3100
(348) 354-8378
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
4301085240
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040E011990
BCBS OF MI
MI
05
—
519222510
—
MI
05
—
519253910
—
MI
05
—
519559510
—
MI
Enumeration date
05/31/2007
Last updated
11/16/2009
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