MEDICARE: SAMA LANGUAGE LLC

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	171R00000X	Interpreter

General Provider Information

NPI Number	:	1487473757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMA LANGUAGE LLC

Provider Business Mailing Address
First Line	:	7440 UNIVERSITY AVE NE # 837
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55432-3197
Country	:	US
Telephone Number	:	763-332-8948
Fax Number	:

Provider Business Practice Location Address
First Line	:	7440 UNIVERSITY AVE NE # 837
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55432-3197
Country	:	US
Telephone Number	:	763-332-8948
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KHADYJA SAYED EL SAYED EBRAHEEM
Credential	:
Telephone Number	:	763-332-8948

Provider Enumeration Date	:	10/04/2024
Last Update Date	:	10/04/2024

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Directions to “SAMA LANGUAGE LLC ” Practice Location

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