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NPI Code Detail

MEDICARE: DR. YOGESH JAGIRDAR M.D.

MEDICARE: DR. YOGESH JAGIRDAR M.D.
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
1207Q00000XFamily Medicine Physician4301085598MI

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 : 1457396723
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YOGESH JAGIRDAR M.D.
Provider Business Mailing Address
First Line : 225 E 5TH ST
Second Line : SUITE 300
City : FLINT
State : MI
Zip : 48502-1641
Country : US
Telephone Number : 810-406-4246
Fax Number : 810-424-6029
Provider Business Practice Location Address
First Line : 5710 CLIO RD
Second Line :
City : FLINT
State : MI
Zip : 48504-1525
Country : US
Telephone Number : 810-787-4445
Fax Number : 810-787-4491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2006
Last Update Date : 11/15/2011

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