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NPI Code Detail

MEDICARE: DR. NHILA JAGADEESAN MD

MEDICARE: DR. NHILA JAGADEESAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician2017039557MO
2208M00000XHospitalist Physician01089790AIN
3207R00000XInternal Medicine Physician01089790AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720460355
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NHILA JAGADEESAN MD
Provider Business Mailing Address
First Line : 2001 W 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1902
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2001 W 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1902
Country : US
Telephone Number : 317-338-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2015
Last Update Date : 02/19/2026

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Directions to “ DR. NHILA JAGADEESAN MD” Practice Location

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