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NPI Code Detail

MEDICARE: DR. SOUHEIL H SAMAHA

MEDICARE:  DR. SOUHEIL H SAMAHA
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
1207RP1001XPulmonary Disease Physician205745NY
2207R00000XInternal Medicine Physician205745NY
3207RC0200XCritical Care Medicine (Internal Medicine) Physician205745NY

Other Identifiers

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

General Provider Information

NPI Number : 1508863721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOUHEIL H SAMAHA
Provider Business Mailing Address
First Line : 230 E 52ND ST
Second Line : APT 2D
City : NEW YORK
State : NY
Zip : 10022-6208
Country : US
Telephone Number : 212-734-4484
Fax Number : 212-743-4486
Provider Business Practice Location Address
First Line : 601 DR MARTIN LUTHER KING JR AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-3619
Country : US
Telephone Number : 505-727-3170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 03/18/2025

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Directions to “ DR. SOUHEIL H SAMAHA ” Practice Location

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