Jagasia, Ishwar

Jagasia, Ishwar is an individual health care provider with primary practice located at 2200 Fort Jesse Rd Suite 280, Normal IL 61761-6286. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jagasia, Ishwar can be contacted via phone (309) 452-1788.

Contact Information

Primary practice address
2200 Fort Jesse Rd Suite 280 Normal IL 61761-6286
Fax: (309) 862-1302
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Illinois

Profile Details

NPI number 1881649267
LBN Legal business name Jagasia, Ishwar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 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 1881649267 NPPES
Illinois MEDICAID 036054652*3

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