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Individual

DR. JOSEPH K. SAMAHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Mailing address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
10242
TN
207RI0011X
Interventional Cardiology Physician
Primary
10242
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011500
MS
01
02100041501
QUALCHOICE
05
3194460
TN
01
38679
TLC
TN
01
4031794
AETNA
TN
01
41388179E
BCBS
MS
01
4146192
BCBS
TN
01
87756
BCBS
AR
01
P00387961
RAIL ROAD MEDICARE
Enumeration date
12/27/2005
Last updated
03/31/2016
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