MEDICARE: SAMEER NANGIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501008768	MI
2	225100000X	Physical Therapist	PT041270	CA

General Provider Information

NPI Number	:	1336299437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMEER NANGIA

Provider Business Mailing Address
First Line	:	1845 MIDCHESTER DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48324-1138
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1845 MIDCHESTER DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48324-1138
Country	:	US
Telephone Number	:	248-738-3704
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	04/18/2018

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Directions to “ SAMEER NANGIA ” Practice Location

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