Subbia G Jagannathan, MD | |
695 N Kellogg St, Galesburg, IL 61401-2807 | |
(309) 345-4219 | |
Not Available |
Full Name | Subbia G Jagannathan |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 695 N Kellogg St, Galesburg, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184679953 | NPI | - | NPPES |
0360469401 | Medicaid | IL | |
300026080 | Other | IL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036046940 (Illinois) | Primary |
Mailing Address | Practice Location Address |
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Subbia G Jagannathan, MD Po Box 989, Galesburg, IL 61402-0989 Ph: () - | Subbia G Jagannathan, MD 695 N Kellogg St, Galesburg, IL 61401-2807 Ph: (309) 345-4219 |
Muhammed S Anwer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-345-4219 | |
Stephen E Lehnert, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-345-4219 |