Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 25MA08821600 | NJ |
N | 207U00000X | Nuclear Medicine Specialist | 47642 | MN |
NPI | 1417984857 |
---|---|
Provider Name | Dr. Samy Dhurairaj |
First Address | Morristown, NJ 07960-6442 |
Second Address | Morristown, NJ 07960-6136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 27/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0144560 | (05) | MT |
0596197 | (05) | IA |
1044140 | PREFERRED ONE (01) | MN |
135159 | UCARE (01) | MN |
16-02032 | MEDICA PRIMARY (01) | MN |
16-03685 | MEDICA CHOICE (01) | MN |
2378188 | ARAZ (01) | MN |
34666300 | (05) | WI |
503K5DH | BCBS (01) | MN |
610125900 | (05) | MN |
HP55316 | HEALTHPARTNERS (01) | MN |
I35026 | (02) | MN |
P00247939 | RAIL ROAD MEDICARE (01) | MN |