Individual
DILIP SAMARAPUNGAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 W 13 MILE RD STE 644, ROYAL OAK, MI 48073-6770
(248) 551-1033
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301065266
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4415344
—
MI
01
—
BCBSM
BCBSM
MI
Enumeration date
03/28/2006
Last updated
02/23/2024
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