Jagadeesan, Udaya B

Jagadeesan, Udaya B is an individual health care provider with primary practice located at 770 Converse St Jgs Administrative Services, Longmeadow MA 01106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Jagadeesan, Udaya B can be contacted via phone (413) 567-6213.

Contact Information

Primary practice address
770 Converse St Jgs Administrative Services Longmeadow MA 01106
Phone: (413) 567-6213
Fax: (413) 565-2975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 210498 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 210498 Massachusetts

Profile Details

NPI number 1790743755
LBN Legal business name Jagadeesan, Udaya B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Oct 25th, 2011 - about 13 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 1790743755 NPPES
Massachusetts MEDICAID 0193631

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