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Individual
DR. SAMER RIDA KALAKISH
Active
Individual
DR. SAMER RIDA KALAKISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
121876
NC
208800000X
Urology Physician
Primary
42866
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000627329
ANTHEM
KY
05
—
7100085210
—
KY
01
—
P00793920
MEDICARE RAILROAD
KY
Enumeration date
12/21/2007
Last updated
07/02/2014
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