| Sajjan K Nemani Md Sc | |
|
1054 M L King Dr Ste 124 Centralia IL 62801-3065 | |
| (618) 533-8700 | |
| (618) 533-8701 |
| Full Name | Sajjan K Nemani Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1054 M L King Dr Ste 124, Centralia, Illinois |
| Authorized Official Name and Position | Angela Rene Minor (OFFICE MANAGER) |
| Authorized Official Contact | 6185338700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sajjan K Nemani Md Sc 1054 M L King Dr Ste 124 Centralia IL 62801-3065 Ph: (618) 533-8700 | Sajjan K Nemani Md Sc 1054 M L King Dr Ste 124 Centralia IL 62801-3065 Ph: (618) 533-8700 |
| NPI Number | 1740494590 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Medicare PECOS PAC ID | 3779537832 |
|---|---|
| Medicare Enrollment ID | O20050310001017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740494590 | NPI | - | NPPES |
| 06123524 | Other | IL | BLUE CROSS |
| 111163 | Other | IL | HEALTHLINK |
| 036078556 | Medicaid | IL | |
| 051812 | Other | IL | HEALTH ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036078556 (Illinois) | Primary |
| Provider Name | Sajjan K Nemani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649220542 PECOS PAC ID: 2668437195 Enrollment ID: I20041124000183 |
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