Individual
JYOTHIRMAI BOBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5973 BEATRICE DR, KALAMAZOO, MI 49009-9583
(269) 286-7110
(269) 286-7111
Mailing address
5943 STADIUM DR, SUITE 1, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301079796
MI
207Q00000X
Family Medicine Physician
Primary
4301079796
MI
Other
Enumeration date
10/23/2006
Last updated
11/27/2023
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