Organization
NOVI NEUROLOGY PC
Active
Organization
NOVI NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY SAMUEL M.D. (PRESIDENT)
(248) 347-8293
Entity
Organization
Contact information
Practice address
44000 W 12 MILE RD, STE 213, NOVI, MI 48377-2644
(248) 347-8293
(248) 305-6847
Mailing address
PO BOX 1038, BLOOMFIELD, MI 48303-1038
(248) 347-8293
(248) 305-6847
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301060170
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4477679
—
MI
Enumeration date
12/02/2010
Last updated
12/02/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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