Individual
PRAGNA R JADAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 624-9396
(502) 624-0241
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31766
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000381975
ANTHEM - NICC
—
01
—
064434
SIHO - NICC
—
01
—
P00243353
RRMCR - NICC
—
01
—
P00319190
RRMCR - NICC
KY
Enumeration date
01/19/2006
Last updated
07/12/2016
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