Individual
IRA JANHAVI HOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 E MOUNT HOPE AVE, LANSING, MI 48910-3207
(517) 267-3400
Mailing address
2500 N STATE ST, CBO SUITE 4200, JACKSON, MS 39216-4500
(601) 984-6426
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301105296
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
27617
MS
Other
Enumeration date
06/24/2014
Last updated
09/04/2020
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