Individual
DR. JAGADEESH K MOOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2219
(717) 972-4844
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD027960
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232420975
TAX ID
PA
Enumeration date
06/26/2005
Last updated
08/20/2020
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