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Individual

DR. JAGDEEP SINGH SODHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1327 TROUP HWY, TYLER, TX 75701-4443
(903) 606-8840
Mailing address
PO BOX 26208, SCOTTSDALE, AZ 58255-0120

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
53789
WI
207X00000X
Orthopaedic Surgery Physician
53970
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
N2819
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1O3773
MEDICARE
TX
05
394735002
TX
Enumeration date
05/29/2007
Last updated
09/01/2021
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