Individual
SAMIR BAROUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004016659
MO
207RN0300X
Nephrology Physician
Primary
01067492A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200979110
—
IN
Enumeration date
11/03/2006
Last updated
12/26/2025
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