Organization
SUNDER JAGWANI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNDER JAGWANI MD (PRES)
(601) 636-0097
Entity
Organization
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(601) 636-0097
(601) 629-9969
Mailing address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(601) 636-0097
(601) 629-9969
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
10551
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08707229
—
MS
Enumeration date
07/12/2007
Last updated
05/02/2008
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