Individual
MEGHA JAGANNATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(517) 898-6702
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301509257
MI
207RI0200X
Infectious Disease Physician
Primary
4301509257
MI
Other
Enumeration date
03/27/2020
Last updated
08/29/2025
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