Tulebaev, Samir R

Tulebaev, Samir R is an individual health care provider with primary practice located at 41 Mall Rd , Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Tulebaev, Samir R can be contacted via phone (781) 744-5100.

Contact Information

Primary practice address
41 Mall Rd Burlington MA 01805-0001
Phone: (781) 744-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 233039 Massachusetts
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 233039 Massachusetts

Profile Details

NPI number 1174570394
LBN Legal business name Tulebaev, Samir R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Aug 8th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174570394 NPPES
Massachusetts MEDICAID 110086035A

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