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Individual
IMTIAZ RENZA SAMAD
Active
Individual
IMTIAZ RENZA SAMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208658
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01679941
—
NY
Enumeration date
07/12/2006
Last updated
11/18/2015
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