Organization
SAMARA SERVICES LLC
Active
Other names
House Call MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMAD YOUSEF SAMARA MD (MEMBER/OWNER)
(414) 247-9005
Entity
Organization
Contact information
Practice address
5301 W HAMPTON AVE, MILWAUKEE, WI 53218-5019
(414) 247-9005
(414) 247-9004
Mailing address
P O BOX 639, THIENSVILLE, WI 53092-0639
(414) 247-9005
(414) 247-9004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000073606
MEDICARE PTAN GROUP
—
01
—
000173606
MEDICARE PTAN INDIDUAL
—
05
—
32170400
—
WI
Enumeration date
06/10/2008
Last updated
03/07/2023
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