Individual
DR. JAYANTILAL KADIWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(240) 313-9580
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(240) 313-9580
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0030832
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281751900
—
MD
05
—
451601000
—
MD
01
—
930066332
RAILROAD
MD
01
—
K025
MEDICARE
MD
Enumeration date
05/16/2006
Last updated
07/23/2015
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