Individual
DILIP SAMARAPUNGAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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