Individual
JAYANT JAGANNATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3290 W BIG BEAVER RD STE 150, TROY, MI 48084-2931
(248) 792-6527
(248) 792-9106
Mailing address
30775 STEPHENSON HWY, MADISON HEIGHTS, MI 48071-1618
(248) 733-9904
(248) 733-9906
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301095038
MI
Other
Enumeration date
05/17/2007
Last updated
05/21/2025
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