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Contact Information

VR JASTY MD PLC
1525 UNIVERSITY DR
AUBURN HILLS, MI48326-2675
 Phone: 586-484-7159
 Fax: 248-385-5771
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for VR JASTY MD PLC

NPI Number 1780746602
LBN Legal business name VR JASTY MD PLC
Authorized official VENKATA JASTY - (PSYCHIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2006
Last updated 12/30/2024 - More than a year ago
Identifiers
MI License # 4301057306
MI Medicaid 4909747
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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