Individual
DR. SAJJAN K NEMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6828 STATE ROUTE 162 STE 2, MARYVILLE, IL 62062-8558
(618) 288-5906
(618) 288-5914
Mailing address
6810 STATE ROUTE 162, BOX 215, MARYVILLE, IL 62062
(618) 391-6495
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036078556
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078556
—
IL
01
—
051812
HEALTH ALLIANCE
IL
01
—
06123524
BLUE CROSS BLUE SHIELD
IL
01
—
111163
HEALTHLINK
IL
01
—
CI3449
RAILROAD MEDICARE
IL
Enumeration date
05/11/2006
Last updated
08/28/2024
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