MEDICARE: MOHAMMAD JONDY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301105960	MI
2	207QS0010X	Sports Medicine (Family Medicine) Physician	4301105960	MI

General Provider Information

NPI Number	:	1912312489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD JONDY

Provider Business Mailing Address
First Line	:	170 W GENESEE ST
Second Line	:
City	:	FRANKENMUTH
State	:	MI
Zip	:	48734-1305
Country	:	US
Telephone Number	:	989-652-7344
Fax Number	:	989-652-7355

Provider Business Practice Location Address
First Line	:	170 W GENESEE ST
Second Line	:
City	:	FRANKENMUTH
State	:	MI
Zip	:	48734-1305
Country	:	US
Telephone Number	:	989-652-7344
Fax Number	:	989-652-7355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2014
Last Update Date	:	02/10/2026

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Directions to “ MOHAMMAD JONDY ” Practice Location

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