NPI 1619317310 · live from the CMS NPI Registry
Vaishnavi Sekar Bawa, DPM
Podiatrist, Foot & Ankle Surgery in Jackson, MI. National Provider Identifier 1619317310, active.
NPI record
| NPI | 1619317310 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 2797 Spring Arbor Road Suite A, Jackson, MI 49203 |
| Practice phone | 517-784-0900 |
| Enumerated | June 27, 2013 |
| Last updated | February 15, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 5901002500 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.