Individual
AMTUL JABBAR SAMI
Active
Individual
AMTUL JABBAR SAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2000160873
MO
207L00000X
Anesthesiology Physician
Primary
33954
IA
207LP2900X
Pain Medicine (Anesthesiology) Physician
33954
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205093115
—
MO
01
—
P00294778
RR MEDICARE
MO
01
—
P00415762
RAILROAD MEDICARE
MO
Enumeration date
04/20/2006
Last updated
09/11/2012
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