Choubah, Samar A
Choubah, Samar A is an individual health care provider with primary practice located at 650 Centre St , Brockton MA 02302-3308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Choubah, Samar A can be contacted via phone (508) 941-7766.Contact Information
Primary practice address
650 Centre St
Brockton MA 02302-3308
Phone: (508) 941-7766
Fax: (508) 584-5455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 227452 | Massachusetts |
Profile Details
| NPI number | 1588698245 |
|---|---|
| LBN Legal business name | Choubah, Samar A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Dec 15th, 2015 - about 9 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 | 1588698245 | NPPES |
| Massachusetts | MEDICAID | 2120402 |
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