Bokka, Jagan Mohan Reddy

Bokka, Jagan Mohan Reddy is an sole proprietor health care provider with primary practice located at 1000 Health Center Dr , Mattoon IL 61938-9261. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bokka, Jagan Mohan Reddy can be contacted via phone (217) 238-4325.

Contact Information

Primary practice address
1000 Health Center Dr Mattoon IL 61938-9261
Phone: (217) 238-4325
Fax: (217) 348-4290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26478 Oklahoma
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036-128216 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-128216 Illinois

Profile Details

NPI number 1124274063
LBN Legal business name Bokka, Jagan Mohan Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2008
Last updated Nov 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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