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Individual

DR. SAMER KABBANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2332 23RD ST, EUREKA, CA 95501-3231
(707) 444-8011
Mailing address
2332 23RD ST, EUREKA, CA 95501-3231
(707) 444-8011

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35090479
OH
207RC0000X
Cardiovascular Disease Physician
Primary
ME113226
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008638300
FL
05
2814468
OH
01
P00458216
RAIROAD MEDICARE
OH
Enumeration date
08/31/2005
Last updated
11/03/2021
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