Individual
PREM SOBTI
Active
Individual
PREM SOBTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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