Individual
DR. SAMARINA AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3917 WEST RD, SUITE A, LOS ALAMOS, NM 87544-2275
(505) 661-8900
(505) 661-8916
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0063198
MD
207R00000X
Internal Medicine Physician
Primary
MD2010-0715
NM
207R00000X
Internal Medicine Physician
U4730
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
U4730
TX
208M00000X
Hospitalist Physician
D0063198
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408866200
—
MD
01
—
CA8374
R/R MEDICARE GROUP #
MD
01
—
MD2010-0715
NM STATE LICENSE
NM
01
—
NM303371
MEDICARE PTAN
NM
01
—
P00314793
R/R MEDICARE PROVIDER #
MD
Enumeration date
04/07/2006
Last updated
09/13/2023
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