Individual provider · NPI-1

Samaj Adhikari, MD

Internal Medicine · Decatur, IL

NPI number1306459979
StatusActive
Last updated in NPPESOct 23, 2024

Details

NPI
1306459979
Entity type
Individual (NPI-1)
Name
Samaj Adhikari
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 24, 2020
Certification date
Oct 23, 2024
Last updated
Oct 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036164114ILYes
208M00000X Hospitalist036164114IL

Practice location

2300 N Edward St
Decatur, IL 62526-4192

Phone 217-876-8121

Mailing address

2300 N Edward St
Decatur, IL 62526-4192

Phone 217-876-8121

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