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1124339403
SRINIVAS RAJAMAHANTY
CARBONDALE, IL
NPI
1124339403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: IL 036127544)
Enumeration Date
2010-07-01
Last Update Date
2022-10-24
Business Address
SRINIVAS RAJAMAHANTY M.D.
305 W JACKSON ST STE 301
CARBONDALE, IL 62901-1474
Phone number: 618-351-9300
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Mailing Address
SRINIVAS RAJAMAHANTY M.D.
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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