Active NPIIndividual providerSole proprietor

Mr. Samir Gandulla

Case Manager/Care Coordinator in Lawrence, Massachusetts

NPI Number1457698367
Practice location
12 Methuen St, 1ST Floor, Lawrence, MA 01840-1700
Fax
—
Last updated
January 11, 2013

Samir Gandulla is a Case Manager/Care Coordinator based in Lawrence, MA. Samir Gandulla practices in Lawrence, MA. The NPI Number for Samir Gandulla is 1457698367. The current practice location address for Samir Gandulla is 12 Methuen St, 1ST Floor, Lawrence, MA 01840-1700 and can be reached out via phone at 978-794-7966.

Provider Profile Details

NPI Number
1457698367
Provider Name
Samir Gandulla
Provider Entity Type
Individual
Gender
Male
Address
12 Methuen St, 1ST Floor, Lawrence, MA 01840-1700
Phone Number
978-794-7966
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 11, 2013
Last Update Date
January 11, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Methuen St
1ST Floor
Lawrence, MA 01840-1700
Zip
01840-1700
Phone Number
978-794-7966
Lawrence, MA 01840Get directions →

Provider Business Mailing Address Details

Address
25 Mount Vernon St
Apt. 25
Haverhill, MA 01830-6047
City
Haverhill
State
MA
Zip
01830-6047

License Information

Taxonomy
Case Manager/Care Coordinator · 171M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Samir Gandulla?

The NPI number of Mr. Samir Gandulla is 1457698367. It was assigned on January 11, 2013 and is currently active in the NPPES registry.

What is the specialty of Mr. Samir Gandulla?

Mr. Samir Gandulla is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Mr. Samir Gandulla practice?

The practice location is 12 Methuen St, 1ST Floor, Lawrence, MA 01840-1700. The office can be reached at 978-794-7966 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457698367 directly on the NPPES registry website.

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