Kiran, Samasandrapalya R

Kiran, Samasandrapalya R is an individual health care provider with primary practice located at 3353 Fleckenstein , Flint MI 48507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kiran, Samasandrapalya R can be contacted via phone (810) 720-1790.

Contact Information

Primary practice address
3353 Fleckenstein Flint MI 48507
Phone: (810) 720-1790
Fax: (810) 720-1794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301063975 Michigan

Profile Details

NPI number 1912980970
LBN Legal business name Kiran, Samasandrapalya R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912980970 NPPES
Michigan MEDICAID 104310422

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