Individual
SAMIAT AGUNBIADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5401 OLD YORK RD # KLEIN101, PHILADELPHIA, PA 19141-3030
(215) 457-4444
Mailing address
5999 CENSUS DR, COLORADO SPRINGS, CO 80923-5402
(719) 440-7857
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT222104
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/17/2017
Last updated
12/31/2020
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