National Provider Identifier Database

SAMRAJ MEDICAL CLINIC PC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

SAMRAJ MEDICAL CLINIC, P.C.
2000 12TH AVE
COLUMBUS, GA31901-1638
Phone: 706-653-2226
Fax: 706-653-2228
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for SAMRAJ MEDICAL CLINIC, P.C.

NPI Number 1780863324
Legal business name
LBN
SAMRAJ MEDICAL CLINIC, P.C.
Authorized official JOSHUA SAMRAJ - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/31/2007
Last updated 03/31/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 046322
  • GA Medicaid: 000880558C
  • FL Other: DD4216 MEDICARE RAILROAD CARRIER
  • GA Other: 923658 BCBS
  • GA Other: GRP7206 MEDICARE GROUP ID
  • GA Other: P00226966 RR MEDICARE
  • GA Other: 297594 WELLCARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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