Individual
DR. SAMUEL HOUSSAM MARDINI
Active
Individual
DR. SAMUEL HOUSSAM MARDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24021
WV
207RG0100X
Gastroenterology Physician
24021
WV
207RG0100X
Gastroenterology Physician
Primary
37438
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64108053
—
KY
Enumeration date
06/03/2006
Last updated
04/29/2026
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