Witta, Samir Ezzeldin

Witta, Samir Ezzeldin is an sole proprietor health care provider with primary practice located at 3501 S Corona St Ste 1 , Englewood CO 80113-3907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Witta, Samir Ezzeldin can be contacted via phone (303) 999-6745.

Contact Information

Primary practice address
3501 S Corona St Ste 1 Englewood CO 80113-3907
Phone: (303) 999-6745
Fax: (303) 586-2228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X DR.0039762 Colorado

Profile Details

NPI number 1013991678
LBN Legal business name Witta, Samir Ezzeldin
Credentials MD PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Jan 15th, 2024 - about 2 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 1013991678 NPPES
Colorado MEDICAID 82076529

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