Sampath, Praveena
Sampath, Praveena is an individual health care provider with primary practice located at 1455 S Lapeer Rd Suite 134, Lake Orion MI 48360-1467. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Sampath, Praveena can be contacted via phone (248) 683-3385.Contact Information
Primary practice address
1455 S Lapeer Rd Suite 134
Lake Orion MI 48360-1467
Phone: (248) 683-3385
Fax: (248) 683-8441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 4301077694 | Michigan |
Profile Details
| NPI number | 1992921621 |
|---|---|
| LBN Legal business name | Sampath, Praveena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1992921621 | NPPES |
| Michigan | Other | 4301077694 | STATE LICENSE |
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