Individual
DINESH RAGHUNATH SAMANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 E BADILLO ST, COVINA, CA 91723-2800
(626) 915-7300
(626) 967-8896
Mailing address
625 E BADILLO ST, COVINA, CA 91723-2800
(626) 915-7300
(626) 967-8896
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34729
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060011957
RR PTAN
CA
05
—
ZZZ81401Z
—
CA
Enumeration date
11/15/2005
Last updated
09/06/2022
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