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Individual
SAM BAROUDI
Active
Individual
SAM BAROUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A67327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB231242
MEDICARE
CA
01
—
P00174334
RAILROAD MEDICARE
CA
Enumeration date
10/17/2005
Last updated
09/15/2019
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