Alsamarai, Susan

Alsamarai, Susan is an individual health care provider with primary practice located at 455 Lewis Ave Midstate Medical Group, Pc, Meriden CT 06451-2121. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Alsamarai, Susan can be contacted via phone (203) 238-7747.

Contact Information

Primary practice address
455 Lewis Ave Midstate Medical Group, Pc Meriden CT 06451-2121
Phone: (203) 238-7747
Fax: (203) 686-0282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 248940 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 050729 Connecticut
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 050729 Connecticut

Profile Details

NPI number 1174734768
LBN Legal business name Alsamarai, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jun 24th, 2012 - about 12 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 1174734768 NPPES
Connecticut MEDICAID PENDING

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