Alsamarai, Susan
Alsamarai, Susan is an individual health care provider with primary practice located at 455 Lewis Ave Midstate Medical Group, Pc, Meriden CT 06451-2121. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Alsamarai, Susan can be contacted via phone (203) 238-7747.Contact Information
Primary practice address
455 Lewis Ave Midstate Medical Group, Pc
Meriden CT 06451-2121
Phone: (203) 238-7747
Fax: (203) 686-0282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 248940 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 050729 | Connecticut |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 050729 | Connecticut |
Profile Details
| NPI number | 1174734768 |
|---|---|
| LBN Legal business name | Alsamarai, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Jun 24th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174734768 | NPPES |
| Connecticut | MEDICAID | PENDING |
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