Individual
JAGANNATHAN SRINIVASARAGHAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
247 LAKE INDIAN HILLS DR, CARBONDALE, IL 62902-6184
(618) 351-9989
Mailing address
247 LAKE INDIAN HILLS DR, CARBONDALE, IL 62902-6184
(618) 351-9989
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
36-057049
IL
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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