Most Relevant Information
Provider Data
| NPI Number: | 1003279126 |
| Provider Name: | JAY KINARIWALA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2016 |
| Last Updated: | 10/02/2022 |
Provider Practice Location
6071 W OUTER DR
DETROIT
MI
482352624
Practice Location Phone/Fax
| Phone: | 3139661389 |
| Fax: |
Provider Mailing Location
6071 W OUTER DR
DETROIT
MI
482352624
Provider Mailing Phone/Fax
| Phone: | 3139661389 |
| Fax: |