Search › Indiana › 1835P0018X
Samuel Son
NPI 1265940167 · on the registry since 2018 · sole proprietor
Practice
- Address
- 5911 Madison Ave
Indianapolis, IN 46227 - Phone
- (317) 791-3545
- Organisation at this address
- Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1835P0018X
1835P0018X
- Also registered as
- 390200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana