Individual
SAMUEL HALEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
6012 80TH AVE, GLENDALE, NY 11385-6029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
91484
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
04/06/2026
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