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NPI Code Detail

MEDICARE: SHAIK SAMDANI MD

MEDICARE: SHAIK SAMDANI MD
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
1208100000XPhysical Medicine & Rehabilitation Physician0101238655VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2C08460OTHERMEDICARE GROUP NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31558320267OTHERVAGROUP NPI

General Provider Information

NPI Number : 1437118437
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAIK SAMDANI MD
Provider Business Mailing Address
First Line : 220 CAMPUS BLVD STE 320
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-2889
Country : US
Telephone Number : 540-536-5100
Fax Number : 540-536-0235
Provider Business Practice Location Address
First Line : 333 W CORK ST UNIT 230
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-3871
Country : US
Telephone Number : 540-536-1120
Fax Number : 540-536-5139
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 05/30/2025

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