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General NPI Number Information
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NPI Number | 1902345036
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Entity Type | Organization
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Legal Business Name | SAMIR SAIRAM, MD. INC
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Dates
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Enumeration Date | 02/22/2017
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 912 COLE ST #289
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-4316
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Country | US
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Telephone | 510-283-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 912 COLE ST #289
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-4316
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Country | US
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Telephone | 510-283-9999
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMIR SAIRAM
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Credential | M.D.
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Telephone | 510-283-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A97890
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License Number State | CA
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