Whalio Doctors

NPI 1043266380

Prem Kumar Samuel, MD

Practitioner Specialist Overland Park, KS

Practice location

Address
5701 W 119th St Suite 120, Overland Park, KS 66209-3721
Phone
(913) 906-0833
Fax
(816) 523-5747

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 29521 (KS)

Registry record

NPI
1043266380
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 May 2006
Record last updated
21 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.