MRS. PRAVEENA SAMPATH M.D. NPI 1992921621

NPI Information

NPI: 1992921621
Provider Name: MRS. PRAVEENA SAMPATH, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
1455 S LAPEER RD
SUITE 134
LAKE ORION, MI
ZIP 48360
Phone: (248) 683-3385
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MRS. Praveena Sampath, M.D. is an adolescent medicine pediatrics in Lake Orion, MI. The provider is a pediatrician who 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. MRS. Praveena Sampath, M.D. NPI is 1992921621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1455 S LAPEER RD
SUITE 134
LAKE ORION, MI
ZIP 48360-467
Phone: (248) 683-3385
Fax: (248) 683-8441

The enumeration date for this NPI number is 4/18/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	4301077694	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4301077694	OTHER	MICHIGAN	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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