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NPI Code Detail

MEDICARE: SAMIR S ISKANDER MD

MEDICARE:   SAMIR S ISKANDER  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
1208100000XPhysical Medicine & Rehabilitation Physician35.086009OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00229194OTHERTRAVELERS MEDICARE
94155312OTHERPALMETTO MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1311098079OTHERTAX ID
3000000361453OTHEROHANTHEM
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
52518996OTHERUHC
6311098079OTHERCIGNA
7353077OTHERSUBMITTER NO
8311098079OTHERPPO NEXT
107811672OTHERAETNA

General Provider Information

NPI Number : 1679531388
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMIR S ISKANDER MD
Provider Business Mailing Address
First Line : L-3549
Second Line :
City : COLUMBUS
State : OH
Zip : 43260-0001
Country : US
Telephone Number : 740-383-7927
Fax Number : 740-383-7942
Provider Business Practice Location Address
First Line : 1040 DELAWARE AVENUE
Second Line :
City : MARION
State : OH
Zip : 43301-1814
Country : US
Telephone Number : 740-383-8047
Fax Number : 740-383-7942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 10/08/2014

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Directions to “ SAMIR S ISKANDER MD” Practice Location

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