Sam, Albert D

Sam, Albert D is an sole proprietor health care provider with primary practice located at 1800 N Beauregard St Ste 50 , Alexandria VA 22311-1735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Sam, Albert D can be contacted via phone (703) 205-7330.

Contact Information

Primary practice address
1800 N Beauregard St Ste 50 Alexandria VA 22311-1735
Phone: (703) 205-7330
Fax: (703) 205-7331
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 15157R Louisiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 55673 Connecticut
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0101268276 Virginia

Profile Details

NPI number 1396736971
LBN Legal business name Sam, Albert D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Nov 27th, 2023 - about last year

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 1396736971 NPPES
Louisiana MEDICAID 1162604

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