Individual
SAMIR TOMAJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1340 BROAD AVE, SUITE 450, GULFPORT, MS 39501-2404
(228) 867-5127
Mailing address
PO BOX 1810, GULFPORT, MS 39502
(228) 575-1194
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22727
MS
208VP0000X
Pain Medicine Physician
22727
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00227210
—
MS
05
—
1500348
—
LA
Enumeration date
04/02/2008
Last updated
12/15/2022
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