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Individual

SAMIR S ISKANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1040 DELAWARE AVENUE, MARION, OH 43301-1814
(740) 383-8047
(740) 383-7942
Mailing address
L-3549, COLUMBUS, OH 43260-0001
(740) 383-7927
(740) 383-7942

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35.086009
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000361453
ANTHEM
OH
01
2518996
UHC
05
2552036
OH
01
311098079
TAX ID
01
353077
SUBMITTER NO
01
4155312
PALMETTO MEDICARE
01
7811672
AETNA
01
P00229194
TRAVELERS MEDICARE
Enumeration date
05/02/2006
Last updated
10/08/2014
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