Individual
JAYESH PRAKASH THAWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5315 ELLIOTT DR STE 102, YPSILANTI, MI 48197
(734) 712-4500
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-3487
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301115469
MI
Other
Enumeration date
06/03/2010
Last updated
08/02/2019
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