Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAGAN ANNABATHULA, MD
ActiveMR. JAGAN ANNABATHULA, MD is a Internal Medicine healthcare provider located in GRETHEL, Kentucky. NPI 1922090190 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · GRETHEL, KY
Registration Details
- NPI Number
- 1922090190
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2005 (21.011470573399 yrs)
- Last Updated
- Jul 8, 2007
- License
-
33239 (KY)
Practice Information
- Address
-
7629 KY ROUTE 979GRETHEL, KY, 416316304Browse KY providers · Browse ZIP 41631
- Phone
- 6065872200
- Fax
- 6065872203
- Primary Specialty
-
Internal Medicine
207R00000X
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.