| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JAY KINARIWALA | 1003279126 | 2022-10-02 |
Jay Kinariwala is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1003279126. Registration indicates Jay Kinariwala is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology Neurocritical Care, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Neurology, ) (Specialist Network, ) (Psychiatry & Neurology Neurology, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Jay Kinariwala |
| Practice Office Address | 6071 W OUTER DR DETROIT, MI US |
| Practice Office Telephone | 3139661389 |
| Mailing Address | 6071 W OUTER DR DETROIT, MI 482352624 US |
| Business Telephone | 3139661389 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2005 Technology Pkwy Ste 400 | Mechanicsburg, PA 170509413 | 7177912520 / 7177030061 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 2084A2900X PRIMARY | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology Neurocritical Care Allopathic & Osteopathic Physicians Psychiatry & Neurology | 89075
GA |
| 2084N0400X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Neurology Specialist Network Psychiatry & Neurology Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology | MD471023
PA |
| 103785450 | MEDICAID | PA |