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Individual

SAMUEL S MURALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,

Contact information

Practice address
1101 PROFESSIONAL BLVD STE 100, EVANSVILLE, IN 47714
(812) 477-7246
(812) 477-7240
Mailing address
1101 PROFESSIONAL BLVD STE 100, EVANSVILLE, IN 47714-8018
(812) 477-7246
(812) 477-7240

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01081583A
IN
208100000X
Physical Medicine & Rehabilitation Physician
295616
NY
208100000X
Physical Medicine & Rehabilitation Physician
52324
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100609690
KY
Enumeration date
07/09/2015
Last updated
09/06/2019
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