Dalia, Samir Mukundray

Dalia, Samir Mukundray is an individual health care provider with primary practice located at 100 Mercy Way , Joplin MO 64804-4524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Dalia, Samir Mukundray can be contacted via phone (417) 782-7722.

Contact Information

Primary practice address
100 Mercy Way Joplin MO 64804-4524
Phone: (417) 782-7722
Fax: (417) 556-3098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2014012975 Missouri

Profile Details

NPI number 1235331455
LBN Legal business name Dalia, Samir Mukundray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Mar 17th, 2016 - about 9 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 1235331455 NPPES
Missouri Other P01359270 RAIL ROAD MEDICARE
Missouri MEDICAID 200551580A RAIL ROAD MEDICARE
Missouri MEDICAID 201101460A RAIL ROAD MEDICARE
Missouri MEDICAID 1235331455 RAIL ROAD MEDICARE

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