Provider Demographics
NPI:1740211655
Name:SAMY, CHRIS DEVA (MD, MS, MPH, MBA)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:DEVA
Last Name:SAMY
Suffix:
Gender:F
Credentials:MD, MS, MPH, MBA
Other - Prefix:MRS
Other - First Name:DEVAKI
Other - Middle Name:RANGASAMY
Other - Last Name:UTHURUSAMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:80 GROSSE PINES DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-1828
Mailing Address - Country:US
Mailing Address - Phone:248-652-2363
Mailing Address - Fax:
Practice Address - Street 1:80 GROSSE PINES DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-1828
Practice Address - Country:US
Practice Address - Phone:248-652-2363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301061131207PE0004X, 207R00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine