Individual
PUJA G SAMUDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
(317) 338-7510
Mailing address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01076194A
IN
207Q00000X
Family Medicine Physician
55445
MN
Other
Enumeration date
07/08/2009
Last updated
08/12/2022
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