Gowthami Sai Kogilathota Jagirdhar
Internal Medicine, Gastroenterology in Newark, New Jersey
1053940379- Practice location
- 111 Central Ave, Newark, NJ 07102-1909
- Phone
- 973-877-5000
- Fax
- —
- Last updated
- May 23, 2026
Gowthami Sai Kogilathota Jagirdhar is an Internal Medicine, Gastroenterology based in Newark, NJ. Gowthami Sai Kogilathota Jagirdhar practices in Newark, NJ. The NPI Number for Gowthami Sai Kogilathota Jagirdhar is 1053940379 and holds a License No. C1-0029484 (DE). The current practice location address for Gowthami Sai Kogilathota Jagirdhar is 111 Central Ave, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5000.
Provider Profile Details
- NPI Number
- 1053940379
- Provider Name
- Gowthami Sai Kogilathota Jagirdhar
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 Central Ave, Newark, NJ 07102-1909
- Phone Number
- 973-877-5000
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 7, 2020
- Last Update Date
- May 23, 2026
- Certification Date
- May 23, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Central Ave
Newark, NJ 07102-1909 - City
- Newark
- State
- New Jersey
- Zip
- 07102-1909
- Phone Number
- 973-877-5000
Provider Business Mailing Address Details
- Address
- 111 Central Ave
Newark, NJ 07102-1909 - City
- Newark
- State
- NJ
- Zip
- 07102-1909
- Phone Number
- 973-877-5000
License Information
- License Number
- C1-0029484
- License State
- DE
- Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Gowthami Sai Kogilathota Jagirdhar?
The NPI number of Gowthami Sai Kogilathota Jagirdhar is 1053940379. It was assigned on April 7, 2020 and is currently active in the NPPES registry.
What is the specialty of Gowthami Sai Kogilathota Jagirdhar?
Gowthami Sai Kogilathota Jagirdhar is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in DE under license number C1-0029484.
Where does Gowthami Sai Kogilathota Jagirdhar practice?
The practice location is 111 Central Ave, Newark, NJ 07102-1909. The office can be reached at 973-877-5000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053940379 directly on the NPPES registry website.