# SAMUEL CHAND TYAGI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053638734
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 03534 | NC | Yes |
| 2086S0129X | Vascular Surgery Physician | 50119 | KY | — |
| 2086S0129X | Vascular Surgery Physician | 97267 | SC | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 04/21/2010
- **Last updated:** 07/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 03534 | LICENSURE | NC |
| 01 | — | 50119 | LICENSURE | KY |
| 01 | — | 97267 | LICENSURE | SC |