Dr Mini A Samuel, MBBS is a
Internal Medicine physician based in Aubgusta, Georgia. Dr Mini A Samuel is licensed to practice in Georgia (license number 000013497) and her current practice location is 1150 15th Street, Aubgusta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 721-2423.
NPI number for Dr Mini A Samuel is 1427270370 and her current mailing address is 3565 Stevens Way, Martinez, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427270370.
Physician's Profile
| Full Name | Dr Mini A Samuel |
|---|
| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 1150 15th Street, Aubgusta, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427270370
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mini A Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427270370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 000013497 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mini A Samuel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mini A Samuel, MBBS
3565 Stevens Way,
Martinez, GA 30907
Ph: (706) 364-3772 | Dr Mini A Samuel, MBBS
1150 15th Street,
Aubgusta, GA 30912
Ph: (706) 721-2423 |
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