Individual provider · Type 1 NPI
Subbia G. Jagannathan, MD
Diagnostic Radiology Physician · Galesburg, IL
NPI number
1184679953
Active
Practice location
695 N Kellogg St
Galesburg, IL 61401-2807
Mailing address
PO Box 989
Galesburg, IL 61402-0989
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 036046940 (IL) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1184679953
Subbia G. Jagannathan, MD's National Provider Identifier is 1184679953, issued on May 23, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Galesburg, IL. The record was last updated on May 12, 2011.