Healthcare Provider Details

I. General information

NPI: 1497677959
Provider Name (Legal Business Name): JAGAN N JOSEPH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JAGAN NADUVILAVEETIL JOSEPH MD

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 METROHEALTH DR
CLEVELAND OH
44109-1900
US

IV. Provider business mailing address

2500 METROHEALTH DR
CLEVELAND OH
44109-1900
US

V. Phone/Fax

Practice location:
  • Phone: 786-668-7578
  • Fax:
Mailing address:
  • Phone: 216-778-4486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number57.260630
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: