| Nalini Samuel Md Pc | |
|
3050 Krafft Rd Fort Gratiot MI 48059-3821 | |
| (810) 385-7700 | |
| (810) 385-7760 |
| Full Name | Nalini Samuel Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3050 Krafft Rd, Fort Gratiot, Michigan |
| Authorized Official Name and Position | Nalini Samuel (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8103857700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nalini Samuel Md Pc 3050 Krafft Rd Fort Gratiot MI 48059-3821 Ph: (810) 385-7700 | Nalini Samuel Md Pc 3050 Krafft Rd Fort Gratiot MI 48059-3821 Ph: (810) 385-7700 |
| NPI Number | 1336238831 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4486849890 |
|---|---|
| Medicare Enrollment ID | O20101111000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336238831 | NPI | - | NPPES |
| 0G41016 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Devprakash Samuel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760579171 PECOS PAC ID: 7719172121 Enrollment ID: I20110315000744 |
| Provider Name | Nalini Samuel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437241122 PECOS PAC ID: 5092900407 Enrollment ID: I20110518000080 |
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