Individual
JITENDRA P KATNENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1170 CHARTER DR, SUITE A, FLINT, MI 48532-3587
(810) 733-5000
(810) 733-5284
Mailing address
8359 OFFICE PARK DR, GRAND BLANC, MI 48439-2078
(810) 733-5000
(810) 733-5284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301051876
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2672861
—
MI
Enumeration date
04/04/2006
Last updated
07/01/2016
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