MEDICARE: TAMEEZA SAMJI

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1578663613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMEEZA SAMJI

Provider Business Mailing Address
First Line	:	3635 19TH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-1522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1390 MARKET ST
Second Line	:	SUITE 800
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-5402
Country	:	US
Telephone Number	:	415-636-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	09/30/2008

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Directions to “ TAMEEZA SAMJI ” Practice Location

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