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Individual
SAMUEL TEFERRA
Active
Individual
SAMUEL TEFERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018-02891
NC
207Q00000X
Family Medicine Physician
35-07-1841
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942394366
—
MO
01
—
196962
ANTHEM BCBS OF OHIO
OH
05
—
200605710A
—
KS
05
—
2021663
—
OH
Enumeration date
10/02/2006
Last updated
10/18/2023
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