Individual
DR. SADASIVA B. JAMPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1285
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1285
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-057726
IL
2085R0202X
Diagnostic Radiology Physician
1058
WI
Other
Enumeration date
08/03/2006
Last updated
03/03/2023
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