Saikumar, Jagannath Heremagalur
Saikumar, Jagannath Heremagalur is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2367. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Saikumar, Jagannath Heremagalur can be contacted via phone (360) 414-2730.Contact Information
Primary practice address
1615 Delaware St
Longview WA 98632-2367
Phone: (360) 414-2730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60801533 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 50178 | Tennessee |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 50178 | Tennessee |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD60801533 | Washington |
Profile Details
| NPI number | 1295999498 |
|---|---|
| LBN Legal business name | Saikumar, Jagannath Heremagalur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2008 |
| Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295999498 | NPPES |
| Arkansas | MEDICAID | 199530001 | |
| Arkansas | MEDICAID | 1533280 |
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