Individual
DIVYA LAKSHMI JASTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1500 E MEDICAL CENTER DR. 3116 TC, SPC 5368, ANN ARBOR, MI 48109
(734) 998-2020
Mailing address
1500 E MEDICAL CENTER DR. 3116 TC, SPC 5368, ANN ARBOR, MI 48109
(734) 998-2020
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351052243
MI
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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