Individual
DR. JYOTI CHANDRAKANT JAGTAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(276) 806-8549
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27657
OK
207R00000X
Internal Medicine Physician
DOO61106
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200395750A
—
OK
Enumeration date
09/05/2006
Last updated
10/07/2014
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