Individual
PREM SOBTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 SAINT FRANCIS DR, SUITE 372, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5525
(573) 331-5534
Mailing address
PO BOX 843225, KANSAS CITY, MO 64184-3225
(813) 262-8160
(813) 891-9066
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
2004017430
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165777001
—
AR
01
—
204491
BCBS
MO
05
—
206176802
—
MO
05
—
6406297900
—
KY
01
—
690077
HEALTHLINK
—
01
—
P00302293
RAILROAD MEDICARE
—
Enumeration date
05/11/2006
Last updated
03/05/2015
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