Provider Demographics
NPI:1275850554
Name:JASHVANT DANI MDPC
Entity Type:Organization
Organization Name:JASHVANT DANI MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASHVANT
Authorized Official - Middle Name:C
Authorized Official - Last Name:DANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-615-2999
Mailing Address - Street 1:25185 WITHERSPOON ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-1365
Mailing Address - Country:US
Mailing Address - Phone:248-565-1850
Mailing Address - Fax:248-615-2999
Practice Address - Street 1:9433 JOSEPH CAMPAU ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3435
Practice Address - Country:US
Practice Address - Phone:313-872-0398
Practice Address - Fax:313-872-0533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service