Mrs. Praveena Sampath
M.D. | Pediatric Adolescent Medicine | Female
Mrs. Praveena Sampath, M.D. is a Lake Orion, Michigan based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Mrs. Praveena Sampath is
1455 S Lapeer Rd, Suite 134, Lake Orion, Michigan - 48360-1467. She can be contacted on phone at
248-683-3385 and fax number 248-683-8441.
Mrs. Praveena Sampath is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Praveena Sampath is
1992921621 which was assigned by NPPES on 18 Apr, 2007 and it was last updated on 08 Jul, 2007.
Mrs. Praveena Sampath license number is
4301077694 for Pediatrics Adolescent Medicine (2080A0000X) in Michigan.
Mrs. Praveena Sampath 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.
Complete Profile:
Mrs. Praveena Sampath basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Mrs. Praveena Sampath |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Mrs. Praveena Sampath address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1455 S Lapeer Rd, Suite 134
Lake Orion, MI, 48360-1467
United States |
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| Phone Number : | 248-683-3385 |
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| Fax Number : | 248-683-8441 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1992921621 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Apr, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Praveena Sampath are as mentioned. Primary taxonomy code for Mrs. Praveena Sampath, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 4301077694 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Praveena Sampath such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 4301077694 | Other | MI | STATE LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2111 Dorchester Dr N
Troy, MI, 48084-3777
United States |
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| Phone Number : | 248-614-3114 |
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Business Location:
Patients can refer following map for directions to
Mrs. Praveena Sampath practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.