Healthcare Provider Details

I. General information

NPI: 1518278472
Provider Name (Legal Business Name): ROXANA SAMIMI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PENNSYLVANIA AVE NW THE GW MEDICAL FACULTY ASSOCIATES
WASHINGTON DC
20037-3201
US

IV. Provider business mailing address

10151 PASTURE GATE LN
COLUMBIA MD
21044-1707
US

V. Phone/Fax

Practice location:
  • Phone: 212-741-3000
  • Fax:
Mailing address:
  • Phone: 301-502-7841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberW1099
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD040651
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number29380
License Number StateWV
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDC-MD040651-A
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: