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Individual

DR. SAMSON MULU AMBAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
62937
GA
207RN0300X
Nephrology Physician
Primary
28940
OK
208M00000X
Hospitalist Physician
N3441
TX

Other

Enumeration date
11/09/2007
Last updated
02/11/2015
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