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Individual

USAMA SAMAAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1770 N PARHAM RD STE 100, RICHMOND, VA 23229-4658
(804) 665-5457
Mailing address
1770 N PARHAM RD STE 100, RICHMOND, VA 23229-4658
(804) 665-5457

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01011255804
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3001743747001
VA
Enumeration date
07/11/2011
Last updated
07/30/2022
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