Individual
DR. HUSAM T AL SAMARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(571) 423-5699
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(703) 289-4612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101268722
VA
207R00000X
Internal Medicine Physician
4301092422
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101268722
VA
207RP1001X
Pulmonary Disease Physician
0101268722
VA
Other
Enumeration date
03/09/2009
Last updated
12/21/2022
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