MR. Jagan Annabathula, MD

NPI #1922090190 in Grethel, Kentucky

Provider Information

NPI Number: 1922090190
Entity Type: Individual
Name: MR. Jagan Annabathula, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 16, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 7629 KY ROUTE 979
City: Grethel
State: Kentucky
ZIP Code: 41631-6304
Phone: (606) 587-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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