Healthcare Provider Details

I. General information

NPI: 1225311095
Provider Name (Legal Business Name): SAMEER WAHEED M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 06/14/2025
Certification Date: 06/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W 38TH ST STE 400
AUSTIN TX
78705-1141
US

IV. Provider business mailing address

8333 N DAVIS HWY FL 4
PENSACOLA FL
32514-6050
US

V. Phone/Fax

Practice location:
  • Phone: 512-206-3600
  • Fax: 512-206-3604
Mailing address:
  • Phone: 850-969-2038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME150651
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME150651
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberV7100
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: