Individual
DR. VASANTHA SAMALA
Active
Individual
DR. VASANTHA SAMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036112098
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25622
NV
207RP1001X
Pulmonary Disease Physician
036112098
IL
207RP1001X
Pulmonary Disease Physician
25622
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00694043
MEDICARE RAILROAD
IL
Enumeration date
03/28/2007
Last updated
06/24/2026
Update your record
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