Individual
SAM PERSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
730 NORTH MAIN STREET, FRANKLIN, KY 42134-1332
(270) 586-7053
Mailing address
730 NORTH MAIN STREET, FRANKLIN, KY 42134-1332
(270) 586-7053
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18333
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64183338
—
KY
Enumeration date
12/22/2006
Last updated
07/08/2007
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