Individual
DR. KANNAN PUDUR SAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
MD93025
TX
208600000X
Surgery Physician
Primary
MD93025
TX
Other
Enumeration date
06/08/2011
Last updated
09/25/2024
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