Individual
SAMREEN MASOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4000
(765) 502-4709
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01081514A
IN
207Q00000X
Family Medicine Physician
ME129821
FL
208M00000X
Hospitalist Physician
Primary
01081514A
IN
Other
Enumeration date
04/07/2014
Last updated
10/14/2024
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