Srinivas Rajamahanty, M.D.
Urology in Carbondale, IL. Individual provider (NPI-1).
NPI number1124339403
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1124339403
- Entity type
- Individual (NPI-1)
- Name
- Srinivas Rajamahanty
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2010
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 036127544 | IL | Yes |
Practice location
305 W Jackson St Ste 301Carbondale, IL 62901-1474
Phone 618-351-9300 · Fax 618-351-9307
Mailing address
Po Box 3988Carbondale, IL 62902-3988
Phone 618-457-5200
Other practice locations
900 N Washington St
Du Quoin, IL 62832-1233
Du Quoin, IL 62832-1233
Phone 618-351-9300 · Fax 618-351-6543
2601 W Main St
Carbondale, IL 62901-1031
Carbondale, IL 62901-1031
Phone 618-351-7300 · Fax 618-457-7890
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All 5 Urology Physician providers in Carbondale · All 1,335 providers in Carbondale
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