Individual
DR. SYED ABDUS SAMAD
Active
Individual
DR. SYED ABDUS SAMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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