person
Mr. Prem Kumar Samuel, MD
Specialist in Overland Park, Kansas
NPI 1043266380

Prem Kumar Samuel is a Specialist based in Overland Park, KS. Prem Kumar Samuel practices in Overland Park, KS and has the professional credentials of MD. The NPI Number for Prem Kumar Samuel is 1043266380 and holds a License No. 29521 (Kansas).

The current practice location address for Prem Kumar Samuel is 5701 W 119Th St, Overland Park, KS and can be reached out via phone at 913-906-0833 and via fax at 816-523-5747.

Location: 5701 W 119Th St, Overland Park, KS, 66209-3721
person
Provider Profile Details
NPI Number
1043266380
Provider Name
Prem Kumar Samuel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5701 W 119Th St, Overland Park, KS, 66209-3721
Phone Number
913-906-0833
Fax Number
816-523-5747
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100416510B 05 KS
205761604 05 MO
100416510C 05 KS
institution
Provider Business Practice Location Address Details
Address
5701 W 119Th St
City
State
Zip
66209-3721
Phone Number
913-906-0833
Fax Number
816-523-5747
person
Provider Business Mailing Address Details
Address
5701 W 119Th St
City
State
Zip
66209-3721
Phone Number
913-906-0833
Fax Number
816-523-5747
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
29521 (Kansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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