Subbia G Jagannathan in Galesburg - Diagnostic Radiology
Subbia G Jagannathan - NPI 1184679953
Subbia G Jagannathan is a Diagnostic Radiology in Galesburg, Illinois. Subbia G Jagannathan practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Subbia G Jagannathan is 1184679953. The last update date is 2011-05-12.
Subbia G Jagannathan's current location address is 695 N Kellogg St, Galesburg, Illinois. You can contact this provider via phone number 3093454219. The mailing address for Subbia G Jagannathan is 695 N Kellogg St, Galesburg, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Subbia G Jagannathan |
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Address | 695 N Kellogg St, Galesburg, Illinois |
Phone Number | 3093454219 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1184679953 |
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Provider Enumeration Date | 2006-05-23 |
Last Updated Date | 2011-05-12 |
Provider Mailing Address Detail
Address | 695 N Kellogg St |
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City | Galesburg |
State | Illinois (IL) |
Post Code | 614012807 |
Phone Number | 3093454219 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Licence No | 36046940 |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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360469401 | IL | -- | |
300026080 | IL | RAILROAD MEDICARE |
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What is the unique 10-digit identifier code issued to Subbia G Jagannathan by the Centers for Medicare & Medicaid Services?
The Subbia G Jagannathan has been assigned the NPI (National Provider Identifier) 1184679953 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 Subbia G Jagannathan?
The Subbia G Jagannathan is situated at 695 N Kellogg St, in the city of Galesburg, state of IL, with the zip code 614012807.
What is Subbia G Jagannathan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Subbia G Jagannathan is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
On what date was the 1184679953 assigned to Subbia G Jagannathan?
The Subbia G Jagannathan was issued its 1184679953 on 2006-05-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Subbia G Jagannathan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Subbia G Jagannathan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-05-12.