Individual
MONA JAGETIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34960 CENTER RIDGE RD, N RIDGEVILLE, OH 44039-3183
(440) 353-3433
(440) 353-3431
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 617-1823
(440) 617-0884
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35072014
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080162998
RR MEDICARE
OH
05
—
2068819
—
OH
Enumeration date
08/18/2005
Last updated
11/20/2020
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