Zabaneh, Sami S.

Zabaneh, Sami S. is an individual health care provider with primary practice located at 1801 Windsor Rd , Champaign IL 61822-6217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Zabaneh, Sami S. can be contacted via phone (217) 366-5434.

Contact Information

Primary practice address
1801 Windsor Rd Champaign IL 61822-6217
Phone: (217) 366-5434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-086774 Illinois

Profile Details

NPI number 1548279110
LBN Legal business name Zabaneh, Sami S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jan 5th, 2022 - about 3 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 1548279110 NPPES
Illinois Other 279500 MEDICARE GROUP
Illinois MEDICAID 1548279110 3 MEDICARE GROUP
Illinois Other 110120111 MEDICARE GROUP

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