Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 281467 | NY |
Y | 111NI0900X | Internist | 281467 | NY |
N | 207R00000X | Internist | Q9644 | TX |
N | 111NI0900X | Internist | Q9644 | TX |
NPI | 1003226358 |
---|---|
Provider Name | Raagsudha Jhavar |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-2448 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2014 |
Last Update Date | 17/09/2020 |