Individual
DR. ANUBHAV PUTTANNIAH JAGADISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 N LITCHFIELD RD STE 125, GOODYEAR, AZ 85395-1215
(623) 242-1231
(623) 242-1232
Mailing address
1325 N LITCHFIELD RD STE 125, GOODYEAR, AZ 85395-1215
(623) 242-1231
(623) 242-1232
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036136700
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
036136700
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
59580
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-136700
—
IL
Enumeration date
08/06/2008
Last updated
07/08/2020
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