Samad, Mohammad Abdul
Samad, Mohammad Abdul is an individual health care provider with primary practice located at 99 Baldwin Blvd , Shamokin Dam PA 17876. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Samad, Mohammad Abdul can be contacted via phone (570) 743-7657.Contact Information
Primary practice address
99 Baldwin Blvd
Shamokin Dam PA 17876
Phone: (570) 743-7657
Fax: (570) 743-0047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD034317L | Pennsylvania |
Profile Details
| NPI number | 1962516997 |
|---|---|
| LBN Legal business name | Samad, Mohammad Abdul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1962516997 | NPPES |
| Pennsylvania | MEDICAID | 0006884230001 |
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