Individual
JASJEET SINGH SANGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3530 WEST 4TH STREET, WATERLOO, IA 50701-4503
(319) 233-2701
(319) 236-7993
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 233-1630
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
21445
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2157966
—
IA
01
—
421417307B5
JOHN DEERE HEALTH INS PLA
IA
01
—
44468
WELLMARK INS PLAN
IA
Enumeration date
05/18/2006
Last updated
10/31/2008
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