Individual
DR. KANNAN PUDUR SAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
96 JONATHAN LUCAS ST RM 409B, CHARLESTON, SC 29425-8900
(843) 792-1414
Mailing address
96 JONATHAN LUCAS ST RM 409B, CHARLESTON, SC 29425-8900
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
MD93025
SC
204F00000X
Transplant Surgery Physician
MD93025
TX
208600000X
Surgery Physician
Primary
MD93025
SC
208600000X
Surgery Physician
Primary
MD93025
TX
Other
Enumeration date
06/08/2011
Last updated
06/09/2026
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