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NPI Code Detail

MEDICARE: DR. SANGMESH JABSHETTY M.D.

MEDICARE: DR. SANGMESH JABSHETTY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianP3008TX
2207R00000XInternal Medicine Physician036128602IL

General Provider Information

NPI Number : 1801181037
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANGMESH JABSHETTY M.D.
Provider Business Mailing Address
First Line : 2000 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-5893
Country : US
Telephone Number : 866-565-8607
Fax Number : 312-563-8661
Provider Business Practice Location Address
First Line : 2000 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-5893
Country : US
Telephone Number : 866-565-8607
Fax Number : 312-563-8661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2011
Last Update Date : 03/12/2025

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