Seshadri Jagannathan M.D

NPI 1104114784 - Internal Medicine - 207R00000X

NPI Details
NPI 1104114784
Gender Male
Enumeration Date 07/15/2011
Last Updated 03/24/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
550 UNIVERSITY BLVD
UH 1501
INDIANAPOLIS IN, 46202-5149, US
Phone (317) 948-1310
Fax (317) 948-0503
Business Location
250 N SHADELAND AVE
STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS IN, 46219-4959, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Ohio
License Number 57.019042
Remove 1104114784 NPI Number
 

According to our database, Dr. Seshadri Jagannathan M.D NPI is 1104114784, taxonomy code is 207R00000X and license number is 57.019042, license state is located at Ohio. Seshadri Jagannathan M.D physically located at 550 University Blvd, Indianapolis IN, 46202-5149. NPI Number Seshadri Jagannathan M.D has the Individual type.

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1104114784 NPI number is provided on an as is basis without warranty of any kind. 1104114784 is maintained by the National Plan & Provider Enumeration System. The contents of Seshadri Jagannathan M.D are for informational purposes only.