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Individual
DR. JIGNASA PURI
Active
Individual
DR. JIGNASA PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A19203
CA
207Q00000X
Family Medicine Physician
Primary
36096474
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096474
—
IL
01
—
0451514334
BLUESHIELD PROVIDER #
IL
Enumeration date
07/08/2006
Last updated
03/03/2023
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