Individual
MICHAEL G SAMBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 SAINT PAUL PL, DEPT OF MEDICINE, BALTIMORE, MD 21202-2102
(410) 332-9694
Mailing address
PO BOX 62026, BALTIMORE, MD 21264-2026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0053565
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215681400 / 40152150
—
MD
01
—
KF68 / 687278-01
BC / BS OF MD
MD
01
—
S190 / 0019
BLUECHOICE
MD
Enumeration date
05/23/2006
Last updated
12/15/2009
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