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Mrs. Praveena Sampath, MD
Pediatric Adolescent Medicine Physician in Lake Orion, Michigan
NPI 1992921621

Praveena Sampath is a Pediatric Adolescent Medicine Physician based in Troy, MI and is specialized in Adolescent Medicine. Praveena Sampath practices in Lake Orion, MI and has the professional credentials of MD. The NPI Number for Praveena Sampath is 1992921621 and holds a License No. 4301077694 (Michigan).

The current practice location address for Praveena Sampath is 1455 S Lapeer Rd, Lake Orion, MI and can be reached out via phone at 248-683-3385 and via fax at 248-683-8441.

Location: 1455 S Lapeer Rd, Lake Orion, MI, 48084-3777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992921621
Provider Name
Praveena Sampath
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1455 S Lapeer Rd, Lake Orion, MI, 48084-3777
Phone Number
248-683-3385
Fax Number
248-683-8441
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4301077694 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1455 S Lapeer Rd
City
Lake Orion
State
Michigan
Zip
48360-1467
Phone Number
248-683-3385
Fax Number
248-683-8441
person
Provider Business Mailing Address Details
Address
1455 S Lapeer Rd
City
Lake Orion
State
Michigan
Zip
48360-1467
Phone Number
248-683-3385
Fax Number
248-683-8441
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
4301077694 (Michigan)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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