Individual
JAGANNADHARAO BRAHMAMDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
(217) 431-8413
(217) 431-1397
Mailing address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
(217) 431-8413
(217) 431-1397
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
03606004
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360600041
—
IL
05
—
200108180
—
IN
Enumeration date
07/12/2006
Last updated
10/12/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us