Samuel, George
Samuel, George is an individual health care provider with primary practice located at 101 Orchard Ridge Dr , Gaithersburg MD 20878-1917. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Samuel, George can be contacted via phone (301) 398-2172.Contact Information
Primary practice address
101 Orchard Ridge Dr
Gaithersburg MD 20878-1917
Phone: (301) 398-2172
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | Q2846 | Texas |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | D0088250 | Maryland |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | Q2846 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | D0088250 | Maryland |
Profile Details
| NPI number | 1417026592 |
|---|---|
| LBN Legal business name | Samuel, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Apr 5th, 2020 - 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 | 1417026592 | NPPES |
| Texas | Other | 8EY005 | BCBS |
| Texas | MEDICAID | 345019901 | BCBS |
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