Individual
JAYANTILAL J BATHANI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 HAZEN ST, STE 203, PAW PAW, MI 49079
(269) 657-5545
(269) 657-8776
Mailing address
505 HAZEN ST, STE 203, PAW PAW, MI 49079
(269) 657-5545
(269) 657-8776
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301038435
MI
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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