Individual
JAGDISH L MUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1756 SAGAMORE RD, NORTHFIELD, OH 44067-1086
(330) 467-7131
Mailing address
30 E BROAD ST, 11TH FL. ATTN: TONYA FASONE, COLUMBUS, OH 43215-3414
(614) 466-9930
(614) 644-9116
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.077512
OH
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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