Individual
DR. VIKRANT SIVA JAGADEESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 STEUBENVILLE PIKE, BURGETTSTOWN, PA 15021-8539
(724) 947-5350
(724) 947-5350
Mailing address
PO BOX 779, MORGANTOWN, WV 26507-0779
(304) 797-6200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036142535
IL
207RC0000X
Cardiovascular Disease Physician
30569
WV
207RC0000X
Cardiovascular Disease Physician
Primary
MD474540
PA
Other
Enumeration date
06/04/2014
Last updated
05/22/2026
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