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Individual

DR. NAGESH JADHAV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1425 PORTLAND AVE, BOX 242, ROCHESTER, NY 14621-3001
(585) 922-5067
Mailing address
1425 PORTLAND AVE, BOX 242, ROCHESTER, NY 14621-3001
(585) 922-5067

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
003338
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03112021
NY
01
255662
MVP
NY
01
P01040338
EXCELLUS BLUE CHOICE
Enumeration date
12/10/2008
Last updated
11/12/2012
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