Individual
DR. ROODABEH SAMIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
2825 LYNDHURST AVE, SUITE 105, WINSTON SALEM, NC 27103-4146
(336) 277-6550
(336) 768-1026
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(336) 277-6550
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
593
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
E4847
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006352
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3097625
—
OH
Enumeration date
05/20/2008
Last updated
12/17/2021
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