Jagtap, Mandar R

Jagtap, Mandar R is an sole proprietor health care provider with primary practice located at 1310 Highway 72 E , Corinth MS 38834-6524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jagtap, Mandar R can be contacted via phone (662) 594-4123.

Contact Information

Primary practice address
1310 Highway 72 E Corinth MS 38834-6524
Phone: (662) 594-4123
Fax: (625) 942-2966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS13840 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25097 Mississippi

Profile Details

NPI number 1255560918
LBN Legal business name Jagtap, Mandar R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2009
Last updated Jul 7th, 2021 - about 5 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 1255560918 NPPES
Mississippi Other 1H1365 MS MEDICARE INDIVIDUAL
Mississippi MEDICAID 03005201 MS MEDICARE INDIVIDUAL

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