Individual
DR. SAM ELJAMMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(951) 677-1111
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA12042900
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A108921
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P5620
TX
207RP1001X
Pulmonary Disease Physician
P5620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3287740-02
—
TX
Enumeration date
08/13/2009
Last updated
04/03/2024
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