Organization
JETTISON MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONJAY SHRINIVAS DO (PC OWNER)
(617) 504-4449
Entity
Organization
Contact information
Practice address
600 17TH ST STE 2883, DENVER, CO 80202-5402
(303) 493-9509
Mailing address
600 17TH ST STE 2883, DENVER, CO 80202-5402
(303) 493-9509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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