Individual
JAGADEESH SREENEVASA HATHWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 GUTHRIE DR, CORNING, NY 14830-3696
(607) 936-9971
(607) 936-6200
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
211024
NY
207RG0100X
Gastroenterology Physician
MD447473
PA
Other
Enumeration date
09/06/2006
Last updated
03/04/2021
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