DR. SIDDHARTH P. JADHAV, M.D. - NPI NUMBER 1275728768

Summary

Provider Name: DR. SIDDHARTH P. JADHAV, M.D.

NPI Number: 1275728768

Clasification: Radiology (2085B0100X)

Specialization: Body Imaging

Organization: SINGLETON ASSOCIATES, PA

Address:
301 UNIVERSITY BLVD
RT 1022
GALVESTON, TX
ZIP 77555

Phone Number: (409) 772-2222



Detailed Information

DR. Siddharth P. Jadhav, M.D. is a body imaging radiologist in Galveston, TX with 14 years of experience. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. The assigned NPI number for this provider is 1275728768 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

301 UNIVERSITY BLVD
RT 1022
GALVESTON, TX
ZIP 77555-302
Phone: (409) 772-2222

The enumeration date for this NPI number is 9/8/2007 and was last updated on 6/26/2013.

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 2085B0100X Radiology Body Imaging 41807 TX Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 P00440812 MEDICARE PIN TX
2 CI5830 MEDICARE PIN TX
3 760010407 OTHER TX EIN
4 00R518 MEDICARE PIN TX
5 8K0381 MEDICARE PIN TX

NPI Record

No. Field Name Field Value
1 NPI 1275728768
2 Entity Type Code 1
3 Provider Last Name Legal Name JADHAV
4 Provider First Name SIDDHARTH
5 Provider Middle Name P.
6 Provider Name Prefix Text DR.
7 Provider Credential Text M.D.
8 Provider First Line Business Practice Location Address 301 UNIVERSITY BLVD
9 Provider Second Line Business Practice Location Address RT 1022
10 Provider Business Practice Location Address City Name GALVESTON
11 Provider Business Practice Location Address State Name TX
12 Provider Business Practice Location Address Postal Code 775555302
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 4097722222
15 Provider Enumeration Date 9/8/2007
16 Last Update Date 6/26/2013
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 2085B0100X
19 Provider License Number 1 41807
20 Provider License Number State Code 1 TX
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 P00440812
23 Other Provider Identifier Type Code 1 08
24 Other Provider Identifier State 1 TX
25 Other Provider Identifier 2 CI5830
26 Other Provider Identifier Type Code 2 08
27 Other Provider Identifier State 2 TX
28 Other Provider Identifier 3 760010407
29 Other Provider Identifier Type Code 3 01
30 Other Provider Identifier State 3 TX
31 Other Provider Identifier Issuer 3 EIN
32 Other Provider Identifier 4 00R518
33 Other Provider Identifier Type Code 4 08
34 Other Provider Identifier State 4 TX
35 Other Provider Identifier 5 8K0381
36 Other Provider Identifier Type Code 5 08
37 Other Provider Identifier State 5 TX
38 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.