Doctor Name: | DR. SUNDER H JAGWANI |
NPI Number: | 1457491383 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 10551 |
Business Practice Address: | 1401 River Rd Greenwood, MS - 389304030 |
Business Phone Number: | 6624592613 |
Business Fax Number: | 6624591159 |
Mailing Address: | Po Box 1410, GREENWOOD |
State: | MS |
Postal Code: | 389351410 |
Phone Number: | 6624592613 |
Fax Number: | 6624591159 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 07/08/2007 |
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. |