Abu El-Sameed, Yaser

Abu El-Sameed, Yaser is an individual health care provider with primary practice located at 550 S Landmark Ave , Bloomington IN 47403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Abu El-Sameed, Yaser can be contacted via phone (812) 331-3400.

Contact Information

Primary practice address
550 S Landmark Ave Bloomington IN 47403
Fax: (812) 332-7265
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD12177 Rhode Island
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD12177 Rhode Island

Profile Details

NPI number 1104950542
LBN Legal business name Abu El-Sameed, Yaser
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jan 21st, 2019 - about 5 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 1104950542 NPPES
Rhode Island MEDICAID YA67887
Rhode Island Other P00458546

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