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1205821014
JAGJEEVAN RAO GANDRA
MICHIGAN CITY, IN
NPI
1205821014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IN 01045405A)
Enumeration Date
2005-09-19
Last Update Date
2023-04-13
Business Address
JAGJEEVAN RAO GANDRA MD
3723 FRANKLIN ST
MICHIGAN CITY, IN 46360-7310
Phone number: 219-874-3313
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Mailing Address
JAGJEEVAN RAO GANDRA MD
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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