Provider Type Icon

SUNDER JAGWANI MD PA NPI 1033318985


NPI Information

NPI: 1033318985
Provider Name: SUNDER JAGWANI MD PA
Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
1401 RIVER RD
GREENWOOD, MS
ZIP 38930
Phone: (601) 636-0097
Get Directions

SUNDER JAGWANI MD PA is a body imaging radiology in Greenwood, MS. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. SUNDER JAGWANI MD PA NPI is 1033318985. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1401 RIVER RD
GREENWOOD, MS
ZIP 38930-030
Phone: (601) 636-0097
Fax: (601) 629-9969

The provider's authorized official is Sunder Jagwani .
The authorized official title is Pres and has the following contact phone number (601) 636-0097.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 5/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
12085B0100XRadiologyBody Imaging10551MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C4540MEDICARE PINMISSISSIPPI
208707229MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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.