Individual
DR. SYED ABDUS SAMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 HAZEL ST, PINE BLUFF, AR 71603
(870) 534-5533
(870) 534-5535
Mailing address
PO BOX 2797, PINE BLUFF, AR 71613-2797
(870) 534-5533
(870) 534-5535
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R4495
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12162000000
QUAL CHOICE
—
05
—
123407001
—
AR
01
—
5J068
BLUE CROSS BLUE SHIELD
AR
Enumeration date
04/06/2006
Last updated
08/05/2013
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