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RAVINDER R POLASANI MD

Allergy

Jackson, Michigan

Provider NPI: 1376517359

Provider Information:
 RAVINDER R POLASANI MD


Practice Location:
833 LAURENCE AVE  JACKSON, MI 49202 US
Tel: 517-782-1700  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
MIRP073528

Other Provider Identifiers:

IssuerNumberStateType
104078155MI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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