Jagasia, Maya

Jagasia, Maya is an sole proprietor health care provider with primary practice located at 1909 Quail Run Cc Ct , Normal IL 61761-5210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Jagasia, Maya can be contacted via phone (309) 451-3699.

Contact Information

Primary practice address
1909 Quail Run Cc Ct Normal IL 61761-5210
Fax: (904) 805-1302
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36053763 Illinois

Profile Details

NPI number 1821045089
LBN Legal business name Jagasia, Maya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2006
Last updated Mar 17th, 2008 - about 16 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 1821045089 NPPES
Illinois MEDICAID 0360537633
Illinois Other P00195135

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