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1760608798

NPI Code Detail

MEDICARE: DR. DAFER M SAMARA MD

MEDICARE: DR. DAFER M SAMARA 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
1	207R00000X	Internal Medicine Physician	38048	IA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	38048	IA
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	2015019906	MO
4	207RP1001X	Pulmonary Disease Physician	2015019906	MO
5	207RP1001X	Pulmonary Disease Physician	38048	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00741089	OTHER	IA	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1760608798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAFER M SAMARA MD

Provider Business Mailing Address
First Line	:	1004 CARONDELET DR STE 300
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-4858
Country	:	US
Telephone Number	:	816-943-4200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1004 CARONDELET DR STE 300
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-4858
Country	:	US
Telephone Number	:	816-942-4500
Fax Number	:

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	05/07/2026

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Directions to “ DR. DAFER M SAMARA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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