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Individual

JAYANTHI ALAGARSAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
33001 SOLON RD, #112, SOLON, OH 44139-2839
(440) 248-1297
(440) 349-7131
Mailing address
PO BOX 932127, CLEVELAND, OH 44193-0008
(440) 248-1297

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35073679
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110190912
RR MEDICARE
OH
05
2064797
OH
Enumeration date
10/19/2005
Last updated
02/03/2021
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