Individual
SAMEER PURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8501 HARCOURT RD, INDIANAPOLIS, IN 46260-2046
(317) 875-9100
(317) 872-6873
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0361388847
IL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01084904
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201340580
—
IN
Enumeration date
06/11/2009
Last updated
04/01/2024
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