Johan Samanta, MD PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

25284 Issued in AZ

Legal business name

JOHAN SAMANTA, MD PC

Practice address

7500 N Dreamy Draw Dr
Suite 133
Phoenix, AZ 85020-4668

Phone

(602) 277-2228

Fax

(602) 265-9494

NPI assigned

Oct 18, 2007

Last updated

Jan 18, 2017By 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

Dr. Johan E Samanta, M.D.

Title

Owner

Phone

(602) 277-2228

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1871782466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR",
            "address_2": "SUITE 133",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204668",
            "telephone_number": "602-277-2228",
            "fax_number": "602-265-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR",
            "address_2": "SUITE 133",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204668",
            "telephone_number": "602-277-2228",
            "fax_number": "602-265-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHAN SAMANTA, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "SAMANTA",
        "authorized_official_first_name": "JOHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-277-2228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "25284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer B Joe, BT
• Joel E Colley MD PC
• Joel J Ackerman O.D, PC
• Shung Hyun Joh, D,D,S,
• Ravneet Kaur Johal, DO
• Nickolas S Johannsen
• Cassandra Johanson
• Claudia Johansson
• Sheila Ann Johansson
• John a Liebert, MD PC

• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.