Individual
ANUSHA JAGADISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4545 CORDATA PKWY STE 2C, BELLINGHAM, WA 98226-7264
(360) 752-5165
(360) 752-5686
Mailing address
133 BENMORE DR, WINTER PARK, FL 32792-4111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OP61228529
WA
207Q00000X
Family Medicine Physician
Primary
Q3542
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2018
Last updated
02/25/2025
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