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Individual

MAIRAJ TARIQ SAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6600 SUGARLOAF PKWY STE 400-230, DULUTH, GA 30097-4344
(260) 415-2219
Mailing address
UNIVERSITY OF KANSAS HOSP DEPT OF, 3901 RAINBOW BLVD MS 3021, KANSAS CITY, KS 66160-0001
(913) 588-6119
(913) 588-7596

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
86319
GA
207T00000X
Neurological Surgery Physician
94-08118
KS

Other

Enumeration date
05/16/2013
Last updated
08/27/2020
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