Individual
DR. JARED T HAGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
216 W WALNUT ST STE A, DANVILLE, KY 40422-1832
(859) 239-5870
(859) 239-5879
Mailing address
216 W WALNUT ST STE A, DANVILLE, KY 40422-1832
(859) 239-5870
(859) 239-5879
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.088250
OH
207R00000X
Internal Medicine Physician
Primary
47928
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35088250
OH
207RP1001X
Pulmonary Disease Physician
35088250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2755906
—
OH
05
—
7100021130
—
KY
Enumeration date
03/28/2007
Last updated
04/17/2017
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