MEDICARE: DR. EMAN HUSSAIN AL-SAMRRAI 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
1	207Q00000X	Family Medicine Physician	D69561	MD

Other Identifiers

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

General Provider Information

NPI Number	:	1093828501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMAN HUSSAIN AL-SAMRRAI M.D.

Provider Business Mailing Address
First Line	:	10611 HICKORY PT
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-4069
Country	:	US
Telephone Number	:	410-730-5588
Fax Number	:

Provider Business Practice Location Address
First Line	:	1419 FOREST DR
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21403-1482
Country	:	US
Telephone Number	:	410-990-0050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	06/23/2016

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