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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAGANNATHAN SRINIVASARAGHAVAN, M.D.

Active Sole Proprietor

JAGANNATHAN SRINIVASARAGHAVAN, M.D. is a Forensic Psychiatry healthcare provider located in CARBONDALE, Illinois. NPI 1821234501 is currently active in the NPPES registry. Verify at CMS.

Forensic Psychiatry · CARBONDALE, IL

Registration Details

NPI Number
1821234501
Provider Type
Individual
Gender
Male
NPI Issued
Dec 30, 2008 (17.638284182236 yrs)
Last Updated
Dec 30, 2008
License
36-057049 (IL)
Sole Proprietor
Yes

Practice Information

Address
247 LAKE INDIAN HILLS DR
CARBONDALE, IL, 629026184
Browse IL providers · Browse ZIP 62902
Phone
6183519989
Primary Specialty
Forensic Psychiatry
2084F0202X
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.