| Carol C. Jagdeo, Md. L.l.c | |
|
106 Irving St Nw Suite 406 South Washington DC 20010-2927 | |
| (202) 877-0510 | |
| (202) 877-9088 |
| Full Name | Carol C. Jagdeo, Md. L.l.c |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 Irving St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Carol Christine Jagdeo (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 2028770532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol C. Jagdeo, Md. L.l.c 106 Irving Street Nw Suite 406 South Washington DC 20010-2927 Ph: (202) 877-0510 | Carol C. Jagdeo, Md. L.l.c 106 Irving St Nw Suite 406 South Washington DC 20010-2927 Ph: (202) 877-0510 |
| NPI Number | 1356759484 |
|---|---|
| Provider Enumeration Date | 08/01/2014 |
| Last Update Date | 08/01/2014 |
| Medicare PECOS PAC ID | 5092010793 |
|---|---|
| Medicare Enrollment ID | O20160217001658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356759484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD14312 (District Of Columbia) | Primary |
| Provider Name | Carol C Jagdeo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114013554 PECOS PAC ID: 9335214618 Enrollment ID: I20080821000098 |
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