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NPI Code Detail

MEDICARE: SAM SALMASSI MD

MEDICARE:   SAM  SALMASSI  MD
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
12084P0800XPsychiatry Physician0101284695VA

General Provider Information

NPI Number : 1235719691
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAM SALMASSI MD
Provider Business Mailing Address
First Line : 1900 CAMPUS COMMONS DR STE 100-235
Second Line :
City : RESTON
State : VA
Zip : 20191-1561
Country : US
Telephone Number : 703-348-0701
Fax Number : 703-952-8390
Provider Business Practice Location Address
First Line : 1900 CAMPUS COMMONS DR STE 100-235
Second Line :
City : RESTON
State : VA
Zip : 20191-1561
Country : US
Telephone Number : 703-348-0701
Fax Number : 703-952-8390
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2021
Last Update Date : 01/26/2026

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Directions to “ SAM SALMASSI MD” Practice Location

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