Jagannathan Srinivasaraghavan, MD | |
247 Lake Indian Hills Dr, Carbondale, IL 62902-6184 | |
(618) 351-9989 | |
Not Available |
Full Name | Jagannathan Srinivasaraghavan |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Forensic Psychiatry |
Location | 247 Lake Indian Hills Dr, Carbondale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1821234501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | 36-057049 (Illinois) | Primary |
Entity Name | Illinois Department Of Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003960394 PECOS PAC ID: 9830003920 Enrollment ID: O20031113000414 |
Mailing Address | Practice Location Address |
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Jagannathan Srinivasaraghavan, MD 247 Lake Indian Hills Dr, Carbondale, IL 62902-6184 Ph: (618) 351-9989 | Jagannathan Srinivasaraghavan, MD 247 Lake Indian Hills Dr, Carbondale, IL 62902-6184 Ph: (618) 351-9989 |
Andrea Loggini, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Dr. Yasoda Modali, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 374 E.grand Ave, Siuc Student Health Center, Carbondale, IL 62901 Phone: 618-453-4346 Fax: 618-453-2347 | |
Alejandro Hornik, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Dr. Alaa Mohamed Ahmed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Dr. Simeon Grater, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 35 Albany Rd, Carbondale, IL 62903 Phone: 618-549-4688 | |
Dr. Gerson A Criste, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1390 Hope Dr, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Ahmed H Jafri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 |