Individual
YASER ABU EL-SAMEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403
(812) 331-3400
(812) 332-7265
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 331-3400
(812) 332-7265
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD12177
RI
207RP1001X
Pulmonary Disease Physician
Primary
MD12177
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00458546
RAILROAD MEDICARE
RI
05
—
YA67887
—
RI
Enumeration date
03/16/2007
Last updated
01/21/2019
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