Individual
DR. SANDEEP JAGLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
057561
GA
207RN0300X
Nephrology Physician
Primary
GA057561
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057561
STATE LICENSE
GA
05
—
955029596A
—
GA
05
—
955029596AA
—
GA
05
—
955029596B
—
GA
05
—
955029596C
—
GA
05
—
955029596F
—
GA
05
—
955029596I
—
GA
05
—
955029596L
—
GA
05
—
955029596M
—
GA
05
—
955029596N
—
GA
05
—
955029596O
—
GA
05
—
955029596P
—
GA
05
—
955029596Q
—
GA
05
—
955029596R
—
GA
05
—
955029596S
—
GA
05
—
955029596T
—
GA
05
—
955029596U
—
GA
05
—
955029596V
—
GA
05
—
955029596W
—
GA
05
—
955029596X
—
GA
05
—
955029596Y
—
GA
Enumeration date
06/20/2006
Last updated
08/01/2019
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