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
Fax: (330) 493-9101
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326003955 NPPES
Ohio MEDICAID 0532981

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