Individual
SANDEEP S JAIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
47519
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407639
MEDICA HALTH PANS
—
01
—
1043627
PREFERRED ONE
—
01
—
132789
UCARE
—
01
—
2348315
ARAZ GROUP / AMERICAS PPO
—
01
—
6D053CE
BCBS
—
01
—
994S0JA
BCBS
—
01
—
HPS2381
HEALTH PARTNERS
—
Enumeration date
12/14/2005
Last updated
07/08/2007
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