Provider Demographics
NPI:1235482746
Name:PADDA, JAGJIT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAGJIT
Middle Name:
Last Name:PADDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 E GALBRAITH RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2354
Mailing Address - Country:US
Mailing Address - Phone:513-686-6860
Mailing Address - Fax:
Practice Address - Street 1:6350 E GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2354
Practice Address - Country:US
Practice Address - Phone:513-686-6860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHUF3234674OtherMERCY HEALTH NSG CORE SOURCE