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Individual
SUJANA SAMALA
Active
Individual
SUJANA SAMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
200400254
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1424N
BCBS OF NC
NC
01
—
191320
MEDCOST
NC
05
—
5904394
—
NC
Enumeration date
07/25/2006
Last updated
11/19/2010
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