Boutros, Samir Bg
Boutros, Samir Bg is an individual health care provider with primary practice located at 420 Durant St , South Hill VA 23970-1614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Boutros, Samir Bg can be contacted via phone (434) 447-3315.Contact Information
Primary practice address
420 Durant St
South Hill VA 23970-1614
Phone: (434) 447-3315
Fax: (434) 447-2540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 0101032398 | Virginia |
Profile Details
| NPI number | 1568427508 |
|---|---|
| LBN Legal business name | Boutros, Samir Bg |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Mar 14th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568427508 | NPPES |
| Virginia | MEDICAID | 007598491 |
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