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Contact Information

SHRUTI JAVALI
300 LAFAYETTE AVE SE
GRAND RAPIDS, MI49503
 Phone: 616-685-6922
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SHRUTI JAVALI · (Female)

NPI # 1073035440
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2017
Last updated 09/17/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 169683
  • MI License # 4301113402
  • MI License # 4351027611
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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