Individual
AMAR JITIN MAHBUBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1840 WEALTHY ST SE STE 2C-250, GRAND RAPIDS, MI 49506-2921
(616) 774-0101
Mailing address
1840 WEALTHY ST SE STE 2C-250, GRAND RAPIDS, MI 49506-2921
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
5151017335
MI
208600000X
Surgery Physician
Primary
5151017335
MI
Other
Enumeration date
04/07/2025
Last updated
06/01/2026
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