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NPI Code Detail

MEDICARE: OLE SAMI AASSAR M.D.

MEDICARE: OLE SAMI AASSAR M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician22637SC
22085R0204XVascular & Interventional Radiology Physician22637SC
32085R0204XVascular & Interventional Radiology Physician200100205NC
42085R0202XDiagnostic Radiology Physician200100205NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053315499
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLE SAMI AASSAR M.D.
Provider Business Mailing Address
First Line : 700 E MOREHEAD ST
Second Line : STE 300
City : CHARLOTTE
State : NC
Zip : 28202-2788
Country : US
Telephone Number : 704-334-7800
Fax Number :
Provider Business Practice Location Address
First Line : 700 E MOREHEAD ST
Second Line : STE 300
City : CHARLOTTE
State : NC
Zip : 28202-2788
Country : US
Telephone Number : 704-334-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 12/20/2017

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Directions to “ OLE SAMI AASSAR M.D.” Practice Location

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