Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAGAN MOHAN REDDY BOKKA I, M.D
Active Sole ProprietorJAGAN MOHAN REDDY BOKKA I, M.D is a Family Medicine healthcare provider located in MATTOON, Illinois. NPI 1124274063 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MATTOON, IL
Registration Details
- NPI Number
- 1124274063
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2008 (18.010995624336 yrs)
- Last Updated
- Nov 13, 2018
- Licenses
-
26478 (OK)036-128216 (IL)036-128216 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 HEALTH CENTER DRMATTOON, IL, 619389261Browse IL providers · Browse ZIP 61938
- Phone
- 2172384325
- Fax
- 2173484290
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Hospitalist
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MATTOON, IL
| Name | Credential | NPI |
|---|---|---|
| JEFFREY J JENSON | M.D. | 1740211390 |
| ANDREW ROBERT GAGE | M.D. | 1013931567 |
| DR. DAWN MIESNER | D.O. | 1255343026 |
| GREGORY DETERS | M.D. | 1497861702 |
| ROBERT WOCHNER | MD | 1164538864 |
| MARLENE KREMER | M.D. | 1831205749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.