Healthcare Provider Details

I. General information

NPI: 1447934575
Provider Name (Legal Business Name): SUMEET SAINI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2023
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date: 01/12/2024
Reactivation Date: 02/06/2024

III. Provider practice location address

6000 HOSPITAL DR
HANNIBAL MO
63401-6887
US

IV. Provider business mailing address

PO BOX 551
HANNIBAL MO
63401-0551
US

V. Phone/Fax

Practice location:
  • Phone: 573-629-3342
  • Fax: 573-629-3432
Mailing address:
  • Phone: 573-248-1300
  • Fax: 573-248-5264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2026036235
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: