Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 40783 | KY |
NPI | 1144434549 |
---|---|
Provider Name | Dr. Pushkaraj Jadhav |
First Address | Chicago, IL 60677-6351 |
Second Address | Louisville, KY 40207-4707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 12/07/2016 |