Jairaj D Mulchandani MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301039510 Issued in MI

Legal business name

JAIRAJ D MULCHANDANI MD PC

Practice address

32320 Michigan Ave
Wayne, MI 48184-1423

Phone

(734) 641-3630

Fax

(734) 641-1520

NPI assigned

Dec 22, 2009

Last updated

Dec 22, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jairaj D Mulchandani, M.D.NPI 1174698724

Title

Owner

Phone

(734) 641-3630

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jairaj D Mulchandani, MD

  • Internal Medicine Physician
  • Wayne, MI
  • NPI 1174698724
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1275862278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32320 MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841423",
            "telephone_number": "734-641-3630",
            "fax_number": "734-641-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32320 MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841423",
            "telephone_number": "734-641-3630",
            "fax_number": "734-641-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIRAJ D MULCHANDANI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "MULCHANDANI",
        "authorized_official_first_name": "JAIRAJ",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-641-3630",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301039510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1398428",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Wayne, MI
• Providers in Wayne, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.