Individual
MARYANNE RAJAN SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8900 NORTH KENDALL DRIVE, MIAMI, FL 33176
(786) 596-7670
(786) 533-9711
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 596-7670
(786) 533-9711
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
OS11902
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2010
Last updated
02/07/2022
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