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Sampathkumar Shanmugham, MD
Specialist in Lake Mary, Florida
NPI 1053314450

Sampathkumar Shanmugham is a Specialist based in Lake Mary, FL. Sampathkumar Shanmugham practices in Lake Mary, FL and has the professional credentials of MD. The NPI Number for Sampathkumar Shanmugham is 1053314450 and holds a License No. ME50877 (Florida).

The current practice location address for Sampathkumar Shanmugham is 755 Stirling Center Pl, Lake Mary, FL and can be reached out via phone at 407-333-1718 and via fax at 407-333-1633.

Location: 755 Stirling Center Pl, Lake Mary, FL, 32746-5714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053314450
Provider Name
Sampathkumar Shanmugham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
755 Stirling Center Pl, Lake Mary, FL, 32746-5714
Phone Number
407-333-1718
Fax Number
407-333-1633
Provider Enumeration Date
05/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
371422500 05 FL
institution
Provider Business Practice Location Address Details
Address
755 Stirling Center Pl
City
Lake Mary
State
Florida
Zip
32746-5714
Phone Number
407-333-1718
Fax Number
407-333-1633
person
Provider Business Mailing Address Details
Address
755 Stirling Center Pl
City
Lake Mary
State
Florida
Zip
32746-5714
Phone Number
407-333-1718
Fax Number
407-333-1633
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME50877 (Florida)
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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