| Subbia G Jagannathan, MD | |
|
695 N Kellogg St, Galesburg, IL 61401-2807 | |
| (309) 345-4219 | |
| Not Available |
| Full Name | Subbia G Jagannathan |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 695 N Kellogg St, Galesburg, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184679953 | NPI | - | NPPES |
| 0360469401 | Medicaid | IL | |
| 300026080 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036046940 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Subbia G Jagannathan, MD Po Box 989, Galesburg, IL 61402-0989 Ph: () - | Subbia G Jagannathan, MD 695 N Kellogg St, Galesburg, IL 61401-2807 Ph: (309) 345-4219 |
Muhammed S Anwer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-345-4219 | |
Stephen E Lehnert, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-345-4219 |