Individual provider · Type 1 NPI
Jagannadharao Brahmamdam, MD
Diagnostic Radiology Physician · Danville, IL
NPI number
1457386922
Active
Practice location
812 N Logan Ave
Danville, IL 61832-3752
Fax (217) 431-1397
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 03606004 (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 1457386922
Jagannadharao Brahmamdam, MD's National Provider Identifier is 1457386922, issued on Jul 12, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Danville, IL. The record was last updated on Oct 12, 2012.