MEDICARE: DR. RADBOD J MOVASSAGH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2021047198	MO

General Provider Information

NPI Number	:	1306506456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RADBOD J MOVASSAGH MD

Provider Business Mailing Address
First Line	:	300 W OAK ST
Second Line	:
City	:	CARBONDALE
State	:	IL
Zip	:	62901-1400
Country	:	US
Telephone Number	:	618-536-6621
Fax Number	:	618-453-1102

Provider Business Practice Location Address
First Line	:	300 W OAK ST
Second Line	:
City	:	CARBONDALE
State	:	IL
Zip	:	62901-1400
Country	:	US
Telephone Number	:	618-536-6621
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2021
Last Update Date	:	01/21/2026

Similar Medicare Providers

1942169636 — KEN CASTILLO
Practice Location Address:

1400 ARENA DR
CARBONDALE, IL
62901-4330

Practice Phone: 858-775-0641
Practice Fax:

1831876028 — ARBAZ SYED RIAZ MD
Practice Location Address:

300 W OAK ST STE 200
CARBONDALE, IL
62901-1400

Practice Phone: 618-536-0221
Practice Fax: 618-453-0076

1346085149 — KARAM LOGAN DALLOW MD
Practice Location Address:

300 W OAK ST
CARBONDALE, IL
62901-1400

Practice Phone: 618-536-6221
Practice Fax: 618-457-1102

1104824598 — BRIAN JAY REACH M.D.
Practice Location Address:

300 W OAK ST
CARBONDALE, IL
62901-1400

Practice Phone: 217-545-8000
Practice Fax:

1942208988 — PAMELA KAY HUNTER-REACH MD
Practice Location Address:

300 W OAK ST
CARBONDALE, IL
62901-1400

Practice Phone: 618-536-6621
Practice Fax: 618-453-1102

1871583849 — KATHY D. SWAFFORD M.D.
Practice Location Address:

300 W OAK ST
CARBONDALE, IL
62901-1400

Practice Phone: 618-536-6621
Practice Fax:

Directions to “ DR. RADBOD J MOVASSAGH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.