Individual
PRAGNA R JADAV
Active
Individual
PRAGNA R JADAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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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