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Individual
MICHAEL SAMIKKANNU
Active
Individual
MICHAEL SAMIKKANNU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036133434
IL
208M00000X
Hospitalist Physician
Primary
036133434
IL
Other
Enumeration date
02/06/2013
Last updated
10/11/2019
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