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NPI Code Detail

MEDICARE: SAMAR M MIKHAEIL DO

MEDICARE: SAMAR M MIKHAEIL DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1285379933
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMAR M MIKHAEIL DO
Provider Business Mailing Address
First Line : 450 CLARKSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2012
Country : US
Telephone Number : 718-270-1926
Fax Number :
Provider Business Practice Location Address
First Line : 450 CLARKSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2012
Country : US
Telephone Number : 718-270-1926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2022
Last Update Date : 12/13/2025

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