IndividualActive
Jagannathan Srinivasaraghavan, M.D.
NPI 1821234501 · Forensic Psychiatry Physician · Carbondale, IL
Provider details
- NPI number
- 1821234501
- Entity type
- Individual
- Primary specialty
- Forensic Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36-057049 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
247 Lake Indian Hills Dr
Carbondale, IL 62902-6184
Phone: (618) 351-9989
Approximate (ZIP-level) locationGet directions
Mailing address
247 Lake Indian Hills Dr
Carbondale, IL 62902-6184
Registry dates
- Enumerated
- 2008-12-30
- Last updated
- 2008-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.