Individual
DR. MOHAMMAD ABDELRA'UOF SAMIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 DATES DR STE 310, ITHACA, NY 14850
(607) 273-9111
Mailing address
201 DATES DR STE 310, ITHACA, NY 14850-1345
(607) 273-9111
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
44197
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750539367
—
NY
Enumeration date
09/08/2008
Last updated
11/07/2019
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