| Mrs Suchetha Moothat Jagan, MD | |
|
One Guthrie Square, Graduate Medical Education Guthrie, Sayre, PA 18840 | |
| (570) 888-6666 | |
| Not Available |
| Full Name | Mrs Suchetha Moothat Jagan |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | One Guthrie Square, Sayre, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487238135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 331600 (New York) | Primary |
| Entity Name | Guthrie Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451153 PECOS PAC ID: 6002728656 Enrollment ID: O20040301000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Suchetha Moothat Jagan, MD One Guthrie Square, Graduate Medical Education Guthrie, Sayre, PA 18840 Ph: () - | Mrs Suchetha Moothat Jagan, MD One Guthrie Square, Graduate Medical Education Guthrie, Sayre, PA 18840 Ph: (570) 888-6666 |
Karen Lynn Bradley, FNP-C Hospitalist Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Sarah Malik, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-6666 | |
Lavanya Dondapati, M.D Hospitalist Medicare: Medicare Enrolled Practice Location: Guthrie/robert Packer Hospital, One Guthrie Square, Sayre, PA 18840 Phone: 570-888-6666 |