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NPI Code Detail

MEDICARE: SAMER ADNAN DUBAISI

MEDICARE: SAMER ADNAN DUBAISI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1134821408
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMER ADNAN DUBAISI
Provider Business Mailing Address
First Line : 1100 N MAIN ST
Second Line :
City : HUTCHINSON
State : KS
Zip : 67501-4406
Country : US
Telephone Number : 620-669-6781
Fax Number : 800-779-6979
Provider Business Practice Location Address
First Line : 1100 N MAIN ST
Second Line :
City : HUTCHINSON
State : KS
Zip : 67501-4406
Country : US
Telephone Number : 620-669-6781
Fax Number : 800-779-6979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2023
Last Update Date : 06/02/2026

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Directions to “ SAMER ADNAN DUBAISI ” Practice Location

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