Dr Sadasiva B Jampala, MD | |
101 W University Ave, Champaign, IL 61820-3909 | |
(217) 366-1285 | |
Not Available |
Full Name | Dr Sadasiva B Jampala |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 101 W University Ave, Champaign, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174530737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 1058 (Wisconsin) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 036-057726 (Illinois) | Primary |
Entity Name | Rockford Health Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Mailing Address | Practice Location Address |
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Dr Sadasiva B Jampala, MD 101 W University Ave, Champaign, IL 61820-3909 Ph: (217) 366-1285 | Dr Sadasiva B Jampala, MD 101 W University Ave, Champaign, IL 61820-3909 Ph: (217) 366-1285 |
Durga K Pai, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1285 | |
Dr. Steven J Damore, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 109 W University Ave, Champaign, IL 61820 Phone: 217-366-5180 Fax: 217-366-6106 | |
Dr. Tina M Molis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1285 Fax: 217-366-6129 | |
Andrew Gene Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1285 | |
Dr. Dolores R. Fernandez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1285 | |
C Ronald Donahoe, M. D. Radiology Medicare: Medicare Enrolled Practice Location: 1704 Byrnebruk Dr, Champaign, IL 61822 Phone: 217-355-3812 |