Individual
DR. DAISY JAGANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1014 OSWEGATCHIE TRAIL RD, STAR LAKE, NY 13690-3143
(315) 848-3351
(410) 554-2184
Mailing address
1721 BILLMAN LN, SILVER SPRING, MD 20902-1419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
307253
NY
Other
Enumeration date
03/31/2017
Last updated
09/29/2020
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