Individual
LOBELIA SAMAVATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3990 JOHN R ST, 6 BRUSH CENTER, DETROIT, MI 48201-2018
(313) 745-4525
(313) 745-7414
Mailing address
1560 E MAPLE RD STE 400, TROY, MI 48083-1135
(248) 581-5972
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301084152
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301084152
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301084152
MI
Other
Enumeration date
06/01/2006
Last updated
05/30/2017
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