Jagan Annabathula in Prestonsburg - Internal Medicine

Jagan Annabathula - NPI 1922090190

Jagan Annabathula is a Internal Medicine in Prestonsburg, Kentucky. Jagan Annabathula practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jagan Annabathula is 1922090190. The last update date is 2007-07-08.

Jagan Annabathula's current location address is 1709 Ky Route 321, Prestonsburg, Kentucky. You can contact this provider via phone number 6068868546 and fax number 6068868548. The mailing address for Jagan Annabathula is 1709 Ky Route 321, Prestonsburg, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Jagan Annabathula
Address 1709 Ky Route 321, Prestonsburg, Kentucky
Phone Number 6068868546
Fax Number 6068868548
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1922090190
Provider Enumeration Date 2005-08-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1709 Ky Route 321
City Prestonsburg
State Kentucky (KY)
Post Code 416539101
Phone Number 6068868546
Fax Number 6068868548

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 33239
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
64018427 KY --

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FAQs about Jagan Annabathula

What is the Jagan Annabathula's unique identification number?

The Jagan Annabathula has been assigned the NPI (National Provider Identifier) Number 1922090190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Jagan Annabathula is geographically located?

The Jagan Annabathula is physically situated at the following location: 1709 Ky Route 321, Prestonsburg, KY, 416539101.

What is the area of specialization for Jagan Annabathula, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jagan Annabathula is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

When was the Jagan Annabathula's 1922090190 issued?

The Jagan Annabathula's 1922090190 was issued on 2005-08-16.

As of what date were the details related to Jagan Annabathula most recently updated or revised?

The information pertaining to Jagan Annabathula, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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