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Individual

SUJANA SAMALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 CRESCENT GREEN DRIVE, SUITE 102, CARY, NC 27518-8116
(919) 816-4948
(919) 233-7685
Mailing address
1000 CRESCENT GREEN DRIVE, SUITE 102, CARY, NC 27518-8116
(919) 816-4948
(919) 233-7685

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
200400254
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1424N
BCBS OF NC
NC
01
191320
MEDCOST
NC
05
5904394
NC
Enumeration date
07/25/2006
Last updated
11/19/2010
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