Individual
DR. SUBHANKAR SAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W NORTHWOOD ST, GREENSBORO, NC 27401-1324
(336) 355-9696
Mailing address
PO BOX 918025, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02998
NC
208000000X
Pediatrics Physician
02998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009024500
—
FL
Enumeration date
07/10/2009
Last updated
04/09/2024
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