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Niharika R Samala

Internal Medicine

Allopathic & Osteopathic Physicians

3601 W 13 Mile Rd, Royal Oak, MI 48073-6712

PECOS Enrollment

This provider is enrolled in PECOS as NIHARIKA SAMALA.

Based on the most recent information from CMS, provider Niharika R Samala is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:21 AM.

Profile Details

Provider ID
1023266541
Provider Type
Individual
Full Name
Samala, Niharika R
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
9/9/2008
Last Updated
2/8/2022

Contact Information

Practice Location

3601 W 13 Mile Rd, Royal Oak, MI 48073-6712

(248) 898-5000

Unlisted Fax

Mailing Location

250 N Shadeland Ave, Indianapolis, IN 46219-4959

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 01073844A Indiana
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 4301092135 Michigan

Niharika R Samala

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Prysak, Geoffrey

Madanat, Luai Fadi

Patel, Asha H

Carl M. Karoub, M.D., P.C.

Shrouf, Ahmad Jamal Ali

Alnabulsi, Zaid Anas Abdel Ra'Uof

Hanna, Lilian

Kakish, Tariq

Singh, Aagamjit

Fecko, Alice Marie