Jagannadharao Brahmamdam in Danville - Diagnostic Radiology
Jagannadharao Brahmamdam - NPI 1457386922
Jagannadharao Brahmamdam is a Diagnostic Radiology in Danville, Illinois. Jagannadharao Brahmamdam practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jagannadharao Brahmamdam is 1457386922. The last update date is 2012-10-12.
Jagannadharao Brahmamdam's current location address is 812 N Logan Ave, Danville, Illinois. You can contact this provider via phone number 2174318413 and fax number 2174311397. The mailing address for Jagannadharao Brahmamdam is 812 N Logan Ave, Danville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jagannadharao Brahmamdam |
|---|---|
| Address | 812 N Logan Ave, Danville, Illinois |
| Phone Number | 2174318413 |
| Fax Number | 2174311397 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457386922 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2012-10-12 |
Provider Mailing Address Detail
| Address | 812 N Logan Ave |
|---|---|
| City | Danville |
| State | Illinois (IL) |
| Post Code | 618323752 |
| Phone Number | 2174318413 |
| Fax Number | 2174311397 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 3606004 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 360600041 | IL | -- | |
| 200108180 | IN | -- |
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What is the Jagannadharao Brahmamdam's unique identification number?
The Jagannadharao Brahmamdam has been assigned the NPI (National Provider Identifier) Number 1457386922 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jagannadharao Brahmamdam?
The Jagannadharao Brahmamdam is situated at 812 N Logan Ave, in the city of Danville, state of IL, with the zip code 618323752.
What is Jagannadharao Brahmamdam's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jagannadharao Brahmamdam is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
When did the Jagannadharao Brahmamdam receive its 1457386922?
The Jagannadharao Brahmamdam was issued its 1457386922 on 2006-07-12, which is the date when the organization was assigned this unique identifier.
When was the Jagannadharao Brahmamdam's information last updated?
The Jagannadharao Brahmamdam's information was last updated on 2012-10-12.