Individual
MAHTAB JAIGIRDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6921 RUTLAND ST, PHILADELPHIA, PA 19149-1709
(215) 624-8196
Mailing address
6921 RUTLAND ST, PHILADELPHIA, PA 19149-1709
(215) 624-8196
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/27/2020
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