Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | A148357 | CA |
NPI | 1427475805 |
---|---|
Provider Name | Dr. Devan Jaganath |
First Address | San Francisco, CA 94158-2545 |
Second Address | San Francisco, CA 94158-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2014 |
Last Update Date | 28/07/2020 |