Individual
DR. PALLAVI JASTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
(586) 263-2506
Mailing address
4646 JOHN R ST, 11-HMO, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-1824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301082244
MI
207RH0003X
Hematology & Oncology Physician
Primary
4301082244
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0930080
BCBSM
MI
01
—
4301082244
STATE LICENSE
MI
01
—
5315027169
CONTROLLED DRUG LICENSE
MI
Enumeration date
05/05/2008
Last updated
03/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us