Individual
DR. SAMUEL IWAGUMA DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(808) 346-3633
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(808) 346-3633
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101275922
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
CO
Other
Enumeration date
03/04/2021
Last updated
06/13/2025
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