Individual
SANDIP SEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 S 169 HWY, SMITHVILLE, MO 64089-9317
(816) 461-8288
(816) 461-6586
Mailing address
13711 W 53RD ST, SHAWNEE, KS 66216-5170
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R3F11
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124630E
—
KS
05
—
206815359
—
MO
Enumeration date
03/27/2006
Last updated
04/02/2010
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