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Individual

JASHAN DEEP OCTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301107934
MI
390200000X
Student in an Organized Health Care Education/Training Program
248819
MA

Other

Enumeration date
06/11/2011
Last updated
11/10/2023
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