Malakar, Jagadish C

Malakar, Jagadish C is an sole proprietor health care provider with primary practice located at 129 Homer Ave , Cortland NY 13045-1230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Malakar, Jagadish C can be contacted via phone (607) 753-3355.

Contact Information

Primary practice address
129 Homer Ave Cortland NY 13045-1230
Fax: (607) 753-8724
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 247103-1 New York

Profile Details

NPI number 1700879640
LBN Legal business name Malakar, Jagadish C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2005
Last updated Apr 7th, 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 1700879640 NPPES
New York Other 247103-1 LICENSE #
New York MEDICAID 01950467 LICENSE #

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