Individual
DR. SANDHYA JAGANNATHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 HIGHWAY 28 W, BELLE, MO 65013-3405
(573) 859-3775
(573) 859-3997
Mailing address
1416 OVERLAND DR, ROLLA, MO 65401-6817
(573) 426-2572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2004012240
MO
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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