Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMAI SUPAN, M.D.
ActiveSAMAI SUPAN, M.D. is a Adolescent Medicine healthcare provider located in OKATIE, South Carolina. NPI 1861451569 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · OKATIE, SC
Registration Details
- NPI Number
- 1861451569
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2006 (20.416491413481 yrs)
- Last Updated
- Mar 10, 2020
- License
-
11283 (SC)
Practice Information
- Address
-
719 OKATIE HWY # 170OKATIE, SC, 299093963Browse SC providers · Browse ZIP 29909
- Phone
- 8439877400
- Fax
- 8439875135
- Primary Specialty
-
Adolescent Medicine
207QA0505X
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.