Individual provider · Type 1 NPI

Manoj Jagadeesh

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1255103560 Active

Practice location

4444 E 41st St
Tulsa, OK 74135-2527

Call (918) 619-4400 Map

Mailing address

4421 Prescot Dr
Stillwater, OK 74074-5864

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255103560

Manoj Jagadeesh's National Provider Identifier is 1255103560, issued on Oct 30, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Oct 30, 2023.