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NPI Code Detail

MEDICARE: DR. SAM JAHANI D.O

MEDICARE: DR. SAM JAHANI D.O
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
1207R00000XInternal Medicine Physician38632CO
2207R00000XInternal Medicine PhysicianH4439TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
106D1050216OTHERCOCLIA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306894118
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAM JAHANI D.O
Provider Business Mailing Address
First Line : 2502 CANAL STREET
Second Line :
City : HOUSTON
State : TX
Zip : 77003-1523
Country : US
Telephone Number : 713-224-0555
Fax Number : 832-242-9525
Provider Business Practice Location Address
First Line : 2502 CANAL STREET
Second Line :
City : HOUSTON
State : TX
Zip : 77003-1523
Country : US
Telephone Number : 713-224-0555
Fax Number : 832-242-9525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 01/10/2013

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Directions to “ DR. SAM JAHANI D.O” Practice Location

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