Abdul, Sam

Abdul, Sam is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se , Charleston WV 25304-1227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Abdul, Sam can be contacted via phone (304) 388-4170.

Contact Information

Primary practice address
3200 Maccorkle Ave Se Charleston WV 25304-1227
Phone: (304) 388-4170
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20404 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301088857 Michigan

Profile Details

NPI number 1932187713
LBN Legal business name Abdul, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Aug 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932187713 NPPES
West Virginia MEDICAID 2000361000
West Virginia Other 001723882
West Virginia Other 20404
West Virginia MEDICAID 2803069
West Virginia Other P00456101
West Virginia Other 000000538615
West Virginia Other 1056712

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