Dr Shirin Jaggi, DO | |
211 S 9th St, Philadelphia, PA 19107-6810 | |
(215) 955-1925 | |
Not Available |
Full Name | Dr Shirin Jaggi |
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Gender | Female |
Speciality | Hospitalist |
Location | 211 S 9th St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598292849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 25MB11083100 (New Jersey) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Dr Shirin Jaggi, DO 211 S 9th St Ste 600, Philadelphia, PA 19107-6810 Ph: (215) 955-1925 | Dr Shirin Jaggi, DO 211 S 9th St, Philadelphia, PA 19107-6810 Ph: (215) 955-1925 |
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