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Subbia G Jagannathan, MD
Diagnostic Radiology Physician in Galesburg, Illinois
NPI 1184679953

Subbia G Jagannathan is a Diagnostic Radiology Physician based in Galesburg, IL and is specialized in Diagnostic Radiology. Subbia G Jagannathan practices in Galesburg, IL and has the professional credentials of MD. The NPI Number for Subbia G Jagannathan is 1184679953 and holds a License No. 036046940 (Illinois).

The current practice location address for Subbia G Jagannathan is 695 N Kellogg St, Galesburg, IL and can be reached out via phone at 309-345-4219.

Location: 695 N Kellogg St, Galesburg, IL, 61402-0989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184679953
Provider Name
Subbia G Jagannathan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
695 N Kellogg St, Galesburg, IL, 61402-0989
Phone Number
309-345-4219
Fax Number
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0360469401 05 IL
300026080 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
695 N Kellogg St
City
Galesburg
State
Illinois
Zip
61401-2807
Phone Number
309-345-4219
Fax Number
person
Provider Business Mailing Address Details
Address
695 N Kellogg St
City
Galesburg
State
Illinois
Zip
61401-2807
Phone Number
309-345-4219
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036046940 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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