Cook, Samir Issa

Cook, Samir Issa is an individual health care provider with primary practice located at 56 Tower Circle , Somerset KY 42503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Cook, Samir Issa can be contacted via phone (606) 677-2913.

Contact Information

Primary practice address
56 Tower Circle Somerset KY 42503
Fax: (606) 677-6983
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X KY34871 Kentucky

Profile Details

NPI number 1629075296
LBN Legal business name Cook, Samir Issa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jan 22nd, 2009 - about 15 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 1629075296 NPPES
Kentucky MEDICAID 64384712
Kentucky MEDICAID 65933517

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