# DR. PAULINO D SAMBAT JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1073509170
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 0101021882 | VA | — |
| 208D00000X | General Practice Physician | 0101021882 | VA | Yes |

## Other

- **Enumeration date:** 09/23/2005
- **Last updated:** 10/29/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010201 | BS | — |
| 01 | — | 0478594 | HMO | — |
| 01 | — | 1034031 | FIRST HEALTH | — |
| 01 | — | 10785 | SENTARA | — |
| 01 | — | 17 00515 | UNITED HEALTHCARE | — |
| 01 | — | 213149 | MDIPA | — |
| 01 | — | 2551020 | CIGNA | — |
| 01 | — | 4385900 | AETNA | — |
| 01 | — | 540992335 | TRICARE | — |
| 01 | — | 540992335-01 | SOUTHERN HEALTH | — |
| 05 | — | 7341440 | — | VA |