Jagan Mohan Reddy Bokka in Mattoon - Family Medicine
Jagan Mohan Reddy Bokka - NPI 1124274063
Jagan Mohan Reddy Bokka is a Family Medicine in Mattoon, Illinois. Jagan Mohan Reddy Bokka practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jagan Mohan Reddy Bokka is 1124274063. The last update date is 2018-11-13.
Jagan Mohan Reddy Bokka's current location address is 1005 Health Center Dr Ste 201, Mattoon, Illinois. You can contact this provider via phone number 2172386055 and fax number 2173484290. The mailing address for Jagan Mohan Reddy Bokka is 1005 Health Center Dr Ste 201, Mattoon, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jagan Mohan Reddy Bokka |
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Address | 1005 Health Center Dr Ste 201, Mattoon, Illinois |
Phone Number | 2172386055 |
Fax Number | 2173484290 |
Sole Proprietor | Y |
Credentials | M.D |
NPI Number Detail
NPI Number | 1124274063 |
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Provider Enumeration Date | 2008-08-12 |
Last Updated Date | 2018-11-13 |
Provider Mailing Address Detail
Address | 1005 Health Center Dr Ste 201 |
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City | Mattoon |
State | Illinois (IL) |
Post Code | 619384693 |
Phone Number | 2172386055 |
Fax Number | 2173484290 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 26478 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identifier code issued to Jagan Mohan Reddy Bokka by the Centers for Medicare & Medicaid Services?
The Jagan Mohan Reddy Bokka has been assigned the NPI (National Provider Identifier) 1124274063 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jagan Mohan Reddy Bokka?
The Jagan Mohan Reddy Bokka is situated at 1005 Health Center Dr Ste 201, in the city of Mattoon, state of IL, with the zip code 619384693.
What is Jagan Mohan Reddy Bokka's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jagan Mohan Reddy Bokka is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
When did the Jagan Mohan Reddy Bokka receive its 1124274063?
The Jagan Mohan Reddy Bokka was issued its 1124274063 on 2008-08-12, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Jagan Mohan Reddy Bokka, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jagan Mohan Reddy Bokka, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-11-13.