| Doctor Name: | DR. SIDDHARTH P. JADHAV |
| NPI Number: | 1275728768 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 41807 |
| Business Practice Address: | 301 University Blvd Rt 1022 Galveston, TX - 775555302 |
| Business Phone Number: | 4097722222 |
| Business Fax Number: | |
| Mailing Address: | 301 University Blvd, Rt 1022 GALVESTON |
| State: | TX |
| Postal Code: | 775555302 |
| Phone Number: | 4097722222 |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2007 |
| NPI Last Update Date: | 06/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 41807 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |