Individual
MICHAEL JHANTU BRAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 N JUSTICE ST, HENDERSONVILLE, NC 28791-3410
(828) 694-4548
(828) 694-4547
Mailing address
709 N JUSTICE ST, SUITE B, HENDERSONVILLE, NC 28791-3454
(828) 696-1255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019-02102
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NN9283A
MEDICARE PTAN
NC
Enumeration date
04/28/2016
Last updated
11/04/2019
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