Individual
NAVDEEP S SAMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD.202978
LA
2086S0127X
Trauma Surgery Physician
Primary
MD.202978
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1079375
—
LA
01
—
247700YH54
MEDICARE - PTAN
LA
Enumeration date
05/23/2007
Last updated
08/11/2014
Update your record
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