Individual
DR. TEJAS J SAMAROO
Active
Individual
DR. TEJAS J SAMAROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.097886
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055856
—
OH
05
—
1026800330001
—
PA
05
—
1992954150
—
MI
01
—
204881619259
CARESOURCE
OH
01
—
623278
WELLCARE
OH
01
—
9639722
AETNA
—
Enumeration date
09/11/2008
Last updated
11/10/2016
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