Jagadeesan, Jagada
Jagadeesan, Jagada is an sole proprietor health care provider with primary practice located at 4884 Higbee Ave Nw , Canton OH 44718-2578. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jagadeesan, Jagada can be contacted via phone (330) 493-0072.Contact Information
Primary practice address
4884 Higbee Ave Nw
Canton OH 44718-2578
Phone: (330) 493-0072
Fax: (330) 493-9101
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 35-03-8668 | Ohio |
Profile Details
NPI number | 1326003955 |
---|---|
LBN Legal business name | Jagadeesan, Jagada |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 18th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326003955 | NPPES |
Ohio | MEDICAID | 0532981 |
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