Samba Jung M D P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

032194 Issued in MI

Legal business name

SAMBA JUNG M D P C

Practice address

1724 Airport Rd
Waterford, MI 48327-1390

Phone

(248) 674-1220

Fax

(248) 674-1398

NPI assigned

Apr 27, 2011

Last updated

May 10, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samba Jung, M DNPI 1902907025

Title

Medical Doctor

Phone

(248) 674-1220

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samba Jung, MD

  • Internal Medicine Physician
  • Waterford, MI
  • NPI 1902907025
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1528359320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 AIRPORT RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271390",
            "telephone_number": "248-674-1220",
            "fax_number": "248-674-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 AIRPORT RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271390",
            "telephone_number": "248-674-1220",
            "fax_number": "248-674-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMBA JUNG M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "SAMBA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "248-674-1220",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "032194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annamarie Salazar
• Donald Sallee, NP-C
• Susan Lee Saltzman, NP
• Leonard C Salvia, D.O.
• Sam's Club Optical (Sam's Club Optical 30-6665)
• Sams East Inc (Sams Pharmacy 10-6665)
• Samuel a Gray DC (Summit Chiropractic PLLC)
• Michelle Sanborn, M.S., TLLP, CAC-M
• Sandra Flury Counseling PLLC
• Brenda L Sanford, M.D.

• Internal Medicine Physician in Waterford, MI
• Providers in Waterford, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.