Shuaib, Samer
Shuaib, Samer is an individual health care provider with primary practice located at 1500 N Oakland Ave , Bolivar MO 65613-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Shuaib, Samer can be contacted via phone (417) 326-6000.Contact Information
Primary practice address
1500 N Oakland Ave
Bolivar MO 65613-3011
Phone: (417) 326-6000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 51913 | Wisconsin |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2013044176 | Missouri |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | EMTL-2022-033 | Guam |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MC-0694 | Idaho |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | M-2360 | Guam |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 2013044176 | Missouri |
Profile Details
NPI number | 1720294440 |
---|---|
LBN Legal business name | Shuaib, Samer |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2007 |
Last updated | Sep 5th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720294440 | NPPES |
Wisconsin | MEDICAID | 100012713 |
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