Individual
SANDEEP BANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 W OAK ST, CARBONDALE, IL 62901-1464
(618) 529-4455
(618) 351-1287
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036174701
IL
207RI0011X
Interventional Cardiology Physician
Primary
036174701
IL
Other
Enumeration date
06/20/2016
Last updated
07/30/2025
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