Individual
MRS. SUCHETHA MOOTHAT JAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
ONE GUTHRIE SQUARE, GRADUATE MEDICAL EDUCATION GUTHRIE, SAYRE, PA 18840
(570) 888-6666
Mailing address
ONE GUTHRIE SQUARE, GRADUATE MEDICAL EDUCATION GUTHRIE, SAYRE, PA 18840
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
331600
NY
Other
Enumeration date
05/10/2021
Last updated
01/27/2025
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