Moola, Jagadeesh K

Moola, Jagadeesh K is an individual health care provider with primary practice located at 503 N 21St St , Camp Hill PA 17011-2204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Moola, Jagadeesh K can be contacted via phone (717) 763-2219.

Contact Information

Primary practice address
503 N 21St St Camp Hill PA 17011-2204
Phone: (717) 763-2219
Fax: (717) 972-4844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD027960 Pennsylvania

Profile Details

NPI number 1952307746
LBN Legal business name Moola, Jagadeesh K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2005
Last updated Aug 20th, 2020 - 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 1952307746 NPPES
Pennsylvania Other 232420975 TAX ID

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