Individual
RAVINDER R POLASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
833 LAURENCE AVE, JACKSON, MI 49202-2981
(517) 782-1700
(517) 787-9512
Mailing address
49 S CASS ST, SUITE 1B, BATTLE CREEK, MI 49017-2331
(269) 969-8920
(269) 969-8921
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
RP073528
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104078155
—
MI
Enumeration date
02/15/2006
Last updated
01/29/2015
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