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SEMBUA SAMUEL DANIELI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-5432
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101236251
VA
207R00000X
Internal Medicine Physician
2009-01523
NC
207R00000X
Internal Medicine Physician
Primary
33148
WV
208M00000X
Hospitalist Physician
2009-01523
NC
208M00000X
Hospitalist Physician
Primary
33148
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010087911
VA
05
1497789150
WV
01
P00131792
RAILROAD MEDICARE
Enumeration date
07/10/2006
Last updated
05/07/2026
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