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Individual

DR. KAMINI KRISHNASWAMY JAGDISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
250 COLLEGE AVE, LANCASTER, PA 17603-3363
(717) 231-8772
(717) 231-8435
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 231-8698

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
215334
NY
207R00000X
Internal Medicine Physician
Primary
MD449474
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02283329
NY
01
P00391113
MEDICARE RAILROAD
NY
01
WORKER'S COMPENSATIO
215334-W CIM
NY
Enumeration date
04/11/2006
Last updated
07/21/2022
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