Gaddipati, Jagadeesh C

Gaddipati, Jagadeesh C is an individual health care provider with primary practice located at 1401 Chester Blvd Ste C, Richmond IN 47374-1908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gaddipati, Jagadeesh C can be contacted via phone (765) 983-3245.

Contact Information

Primary practice address
1401 Chester Blvd Ste C Richmond IN 47374-1908
Phone: (765) 983-3245
Fax: (765) 983-3247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01039041A Indiana
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35-06-1836G Ohio

Profile Details

NPI number 1699728055
LBN Legal business name Gaddipati, Jagadeesh C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699728055 NPPES
Ohio MEDICAID 845143

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