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Mayuri Saxena

Internal Medicine in Jackson, MI. Individual provider (NPI-1).

NPI number1265091045
StatusActive
Last updated in NPPESMar 13, 2024

Details

NPI
1265091045
Entity type
Individual (NPI-1)
Name
Mayuri Saxena
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 6, 2019
Certification date
Mar 13, 2024
Last updated
Mar 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine4301505707MIYes
390200000X Student in an Organized Health Care Education/Training Program4351045042MI

Practice location

205 N East Ave
Jackson, MI 49201-1753

Phone 517-205-1328

Mailing address

44405 Woodward Ave
Medical Education - H23
Pontiac, MI 48341

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