Provider Demographics
NPI:1639337272
Name:JAGADEESH, SIMHA (MD)
Entity type:Individual
Prefix:
First Name:SIMHA
Middle Name:
Last Name:JAGADEESH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3400C OLD MILTON PKWY
Mailing Address - Street 2:STE 425
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005
Mailing Address - Country:US
Mailing Address - Phone:770-343-8760
Mailing Address - Fax:770-664-2101
Practice Address - Street 1:3400C OLD MILTON PKWY
Practice Address - Street 2:STE 425
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005
Practice Address - Country:US
Practice Address - Phone:770-343-8760
Practice Address - Fax:770-664-2101
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2021-04-26
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Provider Licenses
StateLicense IDTaxonomies
FLME111982207RC0200X, 207RP1001X
GA60907207RC0200X
GA060907207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine