| Organization Name: | SUNDER JAGWANI MD PA |
| NPI Number: | 1033318985 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUNDER JAGWANI (PRES) |
| Mailing Address: | 1401 River Rd Greenwood |
| State: | MS US |
| Postal Code: | 389304030 |
| Phone Number: | 6016360097 |
| Fax Number: | 6016299969 |
| NPI Enumeration Date: | 07/12/2007 |
| NPI Last Update Date: | 05/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 10551 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |