Search › Michigan › 183500000X
Jaya Mathai
NPI 1134751548 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2045 South Blvd W
Troy, MI 48098 - Phone
- (248) 879-8322
- Organisation at this address
- Woodward Detroit Cvs, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan