Individual
DR. SANJAY K NIGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6805 STATE ROUTE 162, STE 201, MARYVILLE, IL 62062-8530
(618) 288-5019
(618) 288-5059
Mailing address
6805 STATE ROUTE 162 STE 201, MARYVILLE, IL 62062-8530
(618) 288-5019
(618) 288-5059
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036107024
IL
Other
Enumeration date
03/08/2006
Last updated
12/27/2021
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