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1821651050
SHOBHA JAGANNATHAM
BRONX, NY
NPI
1821651050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-14
Last Update Date
2023-05-17
Business Address
SHOBHA JAGANNATHAM MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
SHOBHA JAGANNATHAM MD
1000 10TH AVE
NEW YORK, NY 10019-1147
Phone number:
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