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Individual
DR. MOHAMMAD Y SAMARA
Active
Individual
DR. MOHAMMAD Y SAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36801
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
C171319
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000073606 GROUP
MEDICARE PTAN
WI
01
—
00017606 INDIVIDUAL
MEDICARE PTAN
WI
05
—
32170400
—
WI
01
—
WI3406 GROUP
MEDICARE PTAN
WI
01
—
WI34060001 INDIVIDUA
MEDICARE PTAN
WI
Enumeration date
08/31/2006
Last updated
10/03/2023
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