# DR. SARADA JAIMUNGAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104055227
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 26142 | WV | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 303507 | NY | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 26142 | WV | — |

## Other

- **Enumeration date:** 07/10/2009
- **Last updated:** 11/17/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3810029652 | MEDICAID | WV |
| 05 | — | WV5791A | — | WV |