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Individual

DR. DALWINDERPAL SINGH SAMRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1547 OHIO AVE., ANDERSON, IN 46016-5088
(609) 694-8566
Mailing address
PO BOX 349, ANDERSON, IN 46015-0349
(765) 641-7499

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101245863
VA
207R00000X
Internal Medicine Physician
Primary
01061542A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200979260
IN
Enumeration date
11/13/2009
Last updated
09/25/2012
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