person
Jagannadharao Brahmamdam, MD
Diagnostic Radiology Physician in Danville, Illinois
NPI 1457386922

Jagannadharao Brahmamdam is a Diagnostic Radiology Physician based in Danville, IL and is specialized in Diagnostic Radiology. Jagannadharao Brahmamdam practices in Danville, IL and has the professional credentials of MD. The NPI Number for Jagannadharao Brahmamdam is 1457386922 and holds a License No. 03606004 (Illinois).

The current practice location address for Jagannadharao Brahmamdam is 812 N Logan Ave, Danville, IL and can be reached out via phone at 217-431-8413 and via fax at 217-431-1397.

Location: 812 N Logan Ave, Danville, IL, 61832-3752
person
Provider Profile Details
NPI Number
1457386922
Provider Name
Jagannadharao Brahmamdam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
812 N Logan Ave, Danville, IL, 61832-3752
Phone Number
217-431-8413
Fax Number
217-431-1397
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0360600041 05 IL
200108180 05 IN
institution
Provider Business Practice Location Address Details
Address
812 N Logan Ave
City
State
Zip
61832-3752
Phone Number
217-431-8413
Fax Number
217-431-1397
person
Provider Business Mailing Address Details
Address
812 N Logan Ave
City
State
Zip
61832-3752
Phone Number
217-431-8413
Fax Number
217-431-1397
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
03606004 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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