Individual
TERENCE SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-7453
Mailing address
PO BOX 44994, INDIANAPOLIS, IN 46244-0994
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01063291A
IN
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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