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Individual
SAMUEL PASSI
Active
Individual
SAMUEL PASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL38491
SC
207W00000X
Ophthalmology Physician
Primary
11727694-1205
UT
207W00000X
Ophthalmology Physician
65283
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
07/12/2015
Last updated
07/14/2020
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