Provider Demographics
NPI:1710963012
Name:BARMAN, SAMIR KUMAR (RPT)
Entity Type:Individual
Prefix:MR
First Name:SAMIR
Middle Name:KUMAR
Last Name:BARMAN
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:455 E GRAND RIVER AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-1551
Mailing Address - Country:US
Mailing Address - Phone:810-231-6454
Mailing Address - Fax:810-299-2993
Practice Address - Street 1:455 E GRAND RIVER AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-1551
Practice Address - Country:US
Practice Address - Phone:810-231-6454
Practice Address - Fax:810-299-2993
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI55010060222251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic