Individual
DR. AMIT JAGTIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2021044466
MO
2084P0804X
Child & Adolescent Psychiatry Physician
2021044466
MO
2084P0804X
Child & Adolescent Psychiatry Physician
MT221089
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/30/2017
Last updated
06/24/2022
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