Individual
DR. TAMEEM ALSAMSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6435 W JEFFERSON BLVD # 434, FORT WAYNE, IN 46804-6203
(260) 436-7875
(260) 432-9812
Mailing address
PO BOX 843603, DALLAS, TX 75284-0001
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01052880A
IN
207L00000X
Anesthesiology Physician
015762
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300101314
—
IN
Enumeration date
10/16/2006
Last updated
03/05/2025
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