Organization
UNITED RADIOLOGY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAGANNADHARAO BRAHMAMDAM MD (PRESIDENT)
(217) 431-8413
Entity
Organization
Contact information
Practice address
812 NORTH LOGAN AVENUE, DANVILLE, IL 61832
(217) 431-8413
(217) 431-1397
Mailing address
812 NORTH LOGAN AVENUE, DANVILLE, IL 61832
(217) 431-8413
(217) 431-1397
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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