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NPI Code Detail

MEDICARE: SAMI F MUHTADIE MD

MEDICARE:   SAMI F MUHTADIE  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
1208D00000XGeneral Practice PhysicianLL744FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1370006486OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000012207OTHEROHANTHEM
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528067386
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMI F MUHTADIE MD
Provider Business Mailing Address
First Line : 1900 BROTHER GEENEN WAY
Second Line :
City : SARASOTA
State : FL
Zip : 34236-7102
Country : US
Telephone Number : 941-556-3233
Fax Number : 941-955-8214
Provider Business Practice Location Address
First Line : 1900 BROTHER GEENEN WAY
Second Line :
City : SARASOTA
State : FL
Zip : 34236-7102
Country : US
Telephone Number : 941-556-3233
Fax Number : 941-955-8214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 06/29/2016

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Directions to “ SAMI F MUHTADIE MD” Practice Location

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