Individual
DR. SAMUEL JOSEPH PERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST UNIT 710, LOUISVILLE, KY 40202
(502) 583-8303
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0325
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
53746
KY
390200000X
Student in an Organized Health Care Education/Training Program
53746
KY
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/14/2015
Last updated
07/06/2021
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