Healthcare Provider Details

I. General information

NPI: 1598607376
Provider Name (Legal Business Name): SAMEERAS MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 N INDIAN CANYON DR STE E218
PALM SPRINGS CA
92262-4885
US

IV. Provider business mailing address

72057 PALM HAVEN DR
RANCHO MIRAGE CA
92270-4040
US

V. Phone/Fax

Practice location:
  • Phone: 760-416-4800
  • Fax:
Mailing address:
  • Phone: 646-500-3760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMED IYOOB MOHAMMED ILYAS
Title or Position: PRESIDENT
Credential: MD
Phone: 646-500-3760