Shanmugham, Sampathkumar
Shanmugham, Sampathkumar is an individual health care provider with primary practice located at 755 Stirling Center Pl , Lake Mary FL 32746-5714. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shanmugham, Sampathkumar can be contacted via phone (407) 333-1718.Contact Information
Primary practice address
755 Stirling Center Pl
Lake Mary FL 32746-5714
Phone: (407) 333-1718
Fax: (407) 333-1633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME50877 | Florida |
Profile Details
| NPI number | 1053314450 |
|---|---|
| LBN Legal business name | Shanmugham, Sampathkumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Mar 25th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053314450 | NPPES |
| Florida | MEDICAID | 371422500 |
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