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Individual

DR. SANGEETA JAIN-ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1619 PADDLEWHEEL CIR, JEFFERSON CITY, MO 65109-1293
(573) 761-0777
Mailing address
1619 PADDLEWHEEL CIR, JEFFERSON CITY, MO 65109-1293
(573) 761-0777

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
107129
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110104028
RAILROAD MEDICARE
MO
01
12924
BCBS
MO
05
207818303
MO
01
CC7852
RR GROUP
MO
Enumeration date
01/05/2006
Last updated
11/27/2012
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