Individual
DR. JAGADA JAGADEESAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4884 HIGBEE AVE NW, CANTON, OH 44718-2578
(330) 493-0072
(330) 493-9101
Mailing address
4884 HIGBEE AVE NW, CANTON, OH 44718-2578
(330) 493-0072
(330) 493-9101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-03-8668
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0532981
—
OH
Enumeration date
04/18/2006
Last updated
07/08/2007
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