Samimi, Roodabeh
Samimi, Roodabeh is an individual health care provider with primary practice located at 2825 Lyndhurst Ave Suite 105, Winston Salem NC 27103-4146. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Samimi, Roodabeh can be contacted via phone (336) 277-6550.Contact Information
Primary practice address
2825 Lyndhurst Ave Suite 105
Winston Salem NC 27103-4146
Phone: (336) 277-6550
Fax: (336) 768-1026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | SC006352 | Pennsylvania |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E4847 | California |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 593 | North Carolina |
Profile Details
| NPI number | 1932366705 |
|---|---|
| LBN Legal business name | Samimi, Roodabeh |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2008 |
| Last updated | Dec 17th, 2021 - about 4 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 | 1932366705 | NPPES |
| Ohio | MEDICAID | 3097625 |
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