MEDICARE: JUGTA KAHAI 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
1	208000000X	Pediatrics Physician	9900076	NC

General Provider Information

NPI Number	:	1104805670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUGTA KAHAI MD

Provider Business Mailing Address
First Line	:	118 MEMORIAL DR
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-6328
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 MEMORIAL DR
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-6328
Country	:	US
Telephone Number	:	910-353-0581
Fax Number	:	910-577-1150

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	07/25/2024

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Directions to “ JUGTA KAHAI MD” Practice Location

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