Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jai Chavis, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710780259

Jai Chavis, MD is a Student in an Organized Health Care Education/Training Program in Manchester, Connecticut. Licensed in Connecticut. Registered with an NPI since 2025.

Licensed in
CT
In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

130 Hartford Rd
Manchester, CT 06040-5921
Phone: (860) 533-4679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CT)

Record details

NPI number1710780259
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 31, 2025
Certification dateMarch 30, 2025
Mailing address71 Haynes St, Manchester, CT 06040-4188

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