# DR. SAMER KOUSSAYER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235215062
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | ME0074361 | FL | — |
| 2086S0129X | Vascular Surgery Physician | ME0074361 | FL | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 05/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01111 | UNIVERSAL | — |
| 05 | — | 104574203 | — | TX |
| 01 | — | 218058 | AMERIGROUP | — |
| 01 | — | 261352 | AVMED | — |
| 05 | — | 264790700 | — | FL |
| 01 | — | 3751735001 | CIGNA HMO | — |
| 01 | — | 47284 | BLUECROSS/BLUESHIELD | — |
| 01 | — | 7138025 | AETNA | — |
| 01 | — | 770002304 | R.R.MEDICARE | — |
| 01 | — | 9606443 | GHI | — |