Individual
DR. SAMIULLAH WAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 S MAIN ST, BLACKSBURG, VA 24060-7081
(540) 951-1111
Mailing address
9721 EVENING BIRD LN, LAUREL, MD 20723-5613
(301) 875-2372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101272610
VA
Other
Enumeration date
04/13/2018
Last updated
09/22/2021
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