Organization
NALINI SAMUEL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NALINI SAMUEL MD (OWNER/PHYSICIAN)
(810) 385-7700
Entity
Organization
Contact information
Practice address
3050 KRAFFT RD, FORT GRATIOT, MI 48059-3821
(810) 385-7700
(810) 385-7760
Mailing address
3050 KRAFFT RD, FORT GRATIOT, MI 48059-3821
(810) 385-7700
(810) 385-7760
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G41016
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/12/2006
Last updated
08/22/2020
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