Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUHAS JOE SAMUEL, M.D.
ActiveDR. SUHAS JOE SAMUEL, M.D. is a Sports Medicine healthcare provider located in ELLENWOOD, Georgia. NPI 1356632962 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · ELLENWOOD, GA
Registration Details
- NPI Number
- 1356632962
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2011 (15.250035086862 yrs)
- Last Updated
- Jan 19, 2023
- License
-
072465 (GA)
Practice Information
- Address
-
2720 QUIKTRIP WAYELLENWOOD, GA, 302943504Browse GA providers · Browse ZIP 30294
- Phone
- 4705825698
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in ELLENWOOD, GA
| Name | Credential | NPI |
|---|---|---|
| DR. MOHAMMED MEHBOOB QURESHI | D.O. | 1770997942 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.