Individual provider · Type 1 NPI

Jai Chavis, MD

Student in an Organized Health Care Education/Training Program · Manchester, CT

NPI number 1710780259 Active

Practice location

130 Hartford Rd
Manchester, CT 06040-5921

Call (860) 533-4679 Map

Mailing address

71 Haynes St
Manchester, CT 06040-4188

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710780259

Jai Chavis, MD's National Provider Identifier is 1710780259, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Manchester, CT. The record was last updated on Mar 31, 2025.