Basic Information
| Provider Information | |||||||||
| NPI: | 1639292741 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JHAVERI | ||||||||
| FirstName: | PREETI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 346 GRAND AVE | ||||||||
| Address2: | |||||||||
| City: | JOHNSON CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 137902558 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6077636293 | ||||||||
| FaxNumber: | 6077636717 | ||||||||
| Practice Location | |||||||||
| Address1: | 601 RIVERSIDE DR | ||||||||
| Address2: | |||||||||
| City: | JOHNSON CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 137902544 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6077638088 | ||||||||
| FaxNumber: | 6077294452 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2007 | ||||||||
| LastUpdateDate: | 09/18/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 52591 | KY | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 35003 | OK | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 320605 | LA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 251505 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.