Individual
UMA M JASTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
1014237
MA
207W00000X
Ophthalmology Physician
Primary
4301510888
MI
Other
Enumeration date
04/03/2019
Last updated
07/30/2024
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