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NPI Code Detail

MEDICARE: DR. SAMEER SAMTANI M.D.

MEDICARE: DR. SAMEER SAMTANI M.D.
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
12085R0202XDiagnostic Radiology PhysicianME153224FL

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 : 1578550984
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMEER SAMTANI M.D.
Provider Business Mailing Address
First Line : 5555 PONCE DE LEON BLVD STE 104
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-2513
Country : US
Telephone Number : 305-689-3636
Fax Number :
Provider Business Practice Location Address
First Line : 5555 PONCE DE LEON BLVD STE 104
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-2513
Country : US
Telephone Number : 305-689-3636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 02/06/2024

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Directions to “ DR. SAMEER SAMTANI M.D.” Practice Location

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