Active NPIIndividual provider

Udaya B Jagadeesan, MD

Internal Medicine in Longmeadow, Massachusetts

NPI Number1790743755
Practice location
770 Converse St, Jgs Administrative Services, Longmeadow, MA 01106
Fax
413-565-2975
Last updated
October 25, 2011

Udaya B Jagadeesan is an Internal Medicine based in Longmeadow, MA. Udaya B Jagadeesan practices in Longmeadow, MA and has the professional credentials of MD. The NPI Number for Udaya B Jagadeesan is 1790743755 and holds a License No. 210498 (MA). The current practice location address for Udaya B Jagadeesan is 770 Converse St, Jgs Administrative Services, Longmeadow, MA 01106 and can be reached out via phone at 413-567-6213 and via fax at 413-565-2975.

Provider Profile Details

NPI Number
1790743755
Provider Name
Udaya B Jagadeesan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
770 Converse St, Jgs Administrative Services, Longmeadow, MA 01106
Phone Number
413-567-6213
Fax Number
413-565-2975
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
May 1, 2006
Last Update Date
October 25, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
770 Converse St
Jgs Administrative Services
Longmeadow, MA 01106
Zip
01106
Phone Number
413-567-6213
Fax Number
413-565-2975
Longmeadow, MA 01106Get directions →

Provider Business Mailing Address Details

Address
Po Box 789
Ludlow, MA 01056-0789
City
Ludlow
State
MA
Zip
01056-0789
Phone Number
413-509-1000
Fax Number
413-509-1003

License Information

License Number (1)
210498
License State (1)
MA
Taxonomy (1)
Internal Medicine, Geriatric Medicine · 207RG0300X
License Number (2)
210498
License State (2)
MA
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Udaya B Jagadeesan, MD?

The NPI number of Udaya B Jagadeesan, MD is 1790743755. It was assigned on May 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Udaya B Jagadeesan, MD?

Udaya B Jagadeesan, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 210498.

Where does Udaya B Jagadeesan, MD practice?

The practice location is 770 Converse St, Jgs Administrative Services, Longmeadow, MA 01106. The office can be reached at 413-567-6213 (phone) or 413-565-2975 (fax).

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 1790743755 directly on the NPPES registry website.

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