Jagdale, Deepa Sanjay

Jagdale, Deepa Sanjay is an sole proprietor health care provider with primary practice located at 699 Furys Ferry Rd , Martinez GA 30907-9064. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jagdale, Deepa Sanjay can be contacted via phone (706) 901-7337.

Contact Information

Primary practice address
699 Furys Ferry Rd Martinez GA 30907-9064
Phone: (706) 901-7337
Fax: (706) 903-5002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31458 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 003071 Georgia

Profile Details

NPI number 1447412184
LBN Legal business name Jagdale, Deepa Sanjay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2008
Last updated Mar 7th, 2024 - about last year

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 1447412184 NPPES
Georgia MEDICAID 003161963F
Georgia MEDICAID 314582

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