Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | SC003445L | PA |
NPI | 1407831266 |
---|---|
Provider Name | Savita P Jaggi |
First Address | Philadelphia, PA 19111-3728 |
Second Address | Philadelphia, PA 19111-3728 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 26/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U01417 | (02) | PA |