Jonnalagadda, Samuel David
Jonnalagadda, Samuel David is an sole proprietor health care provider with primary practice located at 8800 Commerce Rd , Commerce Township MI 48382. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jonnalagadda, Samuel David can be contacted via phone (248) 363-7500.Contact Information
Primary practice address
8800 Commerce Rd
Commerce Township MI 48382
Phone: (248) 363-7500
Fax: (248) 363-7700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 4301076908 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301076908 | Michigan |
Profile Details
| NPI number | 1427147628 |
|---|---|
| LBN Legal business name | Jonnalagadda, Samuel David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | May 21st, 2018 - about 8 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 | 1427147628 | NPPES |
| Michigan | MEDICAID | 4614464-10 |
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