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Contact Information

SINGARAVELU JAGADEESAN, MD
815 COX RD
GASTONIA, NC28054-3453
 Phone: 704-865-1700
 Fax: 704-865-7948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Sleep Specialist, PhD

173F00000X
Indicates primary specialty

NPI Profile & details for SINGARAVELU JAGADEESAN · (Male)

NPI Number 1053418509
Status Active
Credentials MD
Entity Individual
Enumeration date 09/19/2006
Last updated 05/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ME168907
  • KS License # 0450820
  • NC License # 200400217
  • WA License # MD60588579
  • NC Medicaid 1053418509
  • NC Medicaid 5903406
  • SC Medicaid NC2736
Hospital affiliation(s)
  • FORSYTH MEMORIAL HOSPITAL - (Acute Care)
    3333 SILAS CREEK PARKWAY
    WINSTON-SALEM, NC 27103
  • GASTON MEMORIAL HOSPITAL - (Acute Care)
    2525 COURT DR
    GASTONIA, NC 28052
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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