Individual
WALID SAMAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4270
(317) 865-8336
Mailing address
2723 S 7TH STREET, SUITE A, TERRE HAUTE, IN 47802-3558
(812) 238-1730
(812) 242-1565
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01042568A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD449780
PA
207RP1001X
Pulmonary Disease Physician
Primary
01042568
IN
207RP1001X
Pulmonary Disease Physician
35.060505
OH
207RP1001X
Pulmonary Disease Physician
MD449780
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000991174
ANTHEM PIN
IN
05
—
100360050A
—
IN
Enumeration date
06/13/2005
Last updated
04/22/2016
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