Individual
DR. JOSHUA S SAMRAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 12TH AVE, COLUMBUS, GA 31901-1638
(706) 653-2226
(706) 653-2228
Mailing address
2000 12TH AVE, COLUMBUS, GA 31901-1638
(706) 653-2226
(706) 653-2228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
046322
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000880558C
—
GA
01
—
200678941
TRICARE PROVIDER NUMBER
GA
01
—
900226966
RAILROAD MEDICARE NUMBER
GA
01
—
923658
BCBS GEORGIA PIN NUMBER
GA
Enumeration date
08/30/2006
Last updated
03/31/2023
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