Healthcare Provider Details

I. General information

NPI: 1508822719
Provider Name (Legal Business Name): SAMER Y SIOUFFI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 LOCUST ST SUITE 100
PITTSBURGH PA
15219-4738
US

IV. Provider business mailing address

695 E WESTERN RESERVE RD #1804
POLAND OH
44514-4310
US

V. Phone/Fax

Practice location:
  • Phone: 412-562-3292
  • Fax: 412-281-2610
Mailing address:
  • Phone: 330-965-0217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number067797L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: