Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SAMIR GANDULLA
Active Sole ProprietorMR. SAMIR GANDULLA is a Case Manager healthcare provider located in LAWRENCE, Massachusetts. NPI 1457698367 is currently active in the NPPES registry. Verify at CMS.
Case Manager · LAWRENCE, MA
Registration Details
- NPI Number
- 1457698367
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2013 (13.412607703403 yrs)
- Last Updated
- Jan 11, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
12 METHUEN ST1ST FLOORLAWRENCE, MA, 018401700Browse MA providers · Browse ZIP 01840
- Phone
- 9787947966
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in LAWRENCE, MA
| Name | Credential | NPI |
|---|---|---|
| DELIS B RIVERA | — | 1194030494 |
| RICHARD WILSON | — | 1912215948 |
| MRS. HOLLY ANN WASHBURN | B.S. | 1659680536 |
| JESSICA FOTI | M.S. | 1740733013 |
| KARINA FRIAS | — | 1528596616 |
| ELIZA TANIA CRUZ | — | 1528569365 |
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.