Provider Demographics
NPI:1386850428
Name:MEKRUT, SAMANTHA R (MD)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:R
Last Name:MEKRUT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:30 GREAT ROCK RD
Mailing Address - Street 2:
Mailing Address - City:SHERBORN
Mailing Address - State:MA
Mailing Address - Zip Code:01770-1608
Mailing Address - Country:US
Mailing Address - Phone:508-466-5939
Mailing Address - Fax:617-690-5963
Practice Address - Street 1:30 GREAT ROCK RD
Practice Address - Street 2:
Practice Address - City:SHERBORN
Practice Address - State:MA
Practice Address - Zip Code:01770-1608
Practice Address - Country:US
Practice Address - Phone:508-466-5939
Practice Address - Fax:617-690-5963
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2025-06-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA229051207Q00000X
PAMD443428207Q00000X
MA238756207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine