Praveena Sampath in Lake Orion - Adolescent Medicine
Praveena Sampath - NPI 1992921621
Praveena Sampath is a Adolescent Medicine in Lake Orion, Michigan. Praveena Sampath practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Praveena Sampath is 1992921621. The last update date is 2007-07-08.
Praveena Sampath's current location address is 1455 S Lapeer Rd, Lake Orion, Michigan. You can contact this provider via phone number 2486833385 and fax number 2486838441. The mailing address for Praveena Sampath is 1455 S Lapeer Rd, Lake Orion, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Praveena Sampath |
|---|---|
| Address | 1455 S Lapeer Rd, Lake Orion, Michigan |
| Phone Number | 2486833385 |
| Fax Number | 2486838441 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1992921621 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1455 S Lapeer Rd |
|---|---|
| City | Lake Orion |
| State | Michigan (MI) |
| Post Code | 483601467 |
| Phone Number | 2486833385 |
| Fax Number | 2486838441 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 4301077694 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4301077694 | MI | STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Praveena Sampath by the Centers for Medicare & Medicaid Services?
The Praveena Sampath has been assigned the NPI (National Provider Identifier) 1992921621. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Praveena Sampath is located?
The Praveena Sampath is situated at the following address: 1455 S Lapeer Rd, Lake Orion, MI, 483601467.
What is Praveena Sampath's area of expertise and its corresponding taxonomy classification?
The Praveena Sampath's field of specialization is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their areas of practice.
When did the Praveena Sampath receive its 1992921621?
The Praveena Sampath was issued its 1992921621 on 2007-04-18, which is the date when the organization was assigned this unique identifier.
When was the information related to Praveena Sampath most recently updated or refreshed?
The details pertaining to the Praveena Sampath, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.