Individual
DR. GEORGE SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 ORCHARD RIDGE DR, GAITHERSBURG, MD 20878-1917
(301) 398-2172
Mailing address
12600 GRAVENHURST LN, NORTH POTOMAC, MD 20878-3419
(682) 205-6215
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
D0088250
MD
207RI0200X
Infectious Disease Physician
Q2846
TX
207RP1001X
Pulmonary Disease Physician
Primary
D0088250
MD
207RP1001X
Pulmonary Disease Physician
Q2846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345019901
—
TX
01
—
8EY005
BCBS
TX
Enumeration date
11/06/2006
Last updated
04/05/2020
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