Provider Demographics
NPI:1780780478
Name:JONA, JUDA Z (MD)
Entity type:Individual
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First Name:JUDA
Middle Name:Z
Last Name:JONA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1200 E MICHIGAN AVE
Mailing Address - Street 2:SUITE 460
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-1800
Mailing Address - Country:US
Mailing Address - Phone:517-364-5490
Mailing Address - Fax:517-364-5499
Practice Address - Street 1:1200 E MICHIGAN AVE
Practice Address - Street 2:SUITE 460
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1800
Practice Address - Country:US
Practice Address - Phone:517-364-5490
Practice Address - Fax:517-364-5499
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2011-01-12
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Provider Licenses
StateLicense IDTaxonomies
MI43010952892086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
B53922Medicare UPIN