Individual
ANWESHAN SAMANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-7604
(410) 328-7607
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(410) 328-8040
(443) 462-3514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D89936
MD
207RC0000X
Cardiovascular Disease Physician
D89936
MD
208M00000X
Hospitalist Physician
Primary
D89936
MD
Other
Enumeration date
04/06/2016
Last updated
12/09/2020
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