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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 Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

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

NPI Number 1780863324
LBN Legal business name SAMRAJ MEDICAL CLINIC, P.C.
Authorized official JOSHUA SAMRAJ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2007
Last updated 03/31/2023 - About 3 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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