Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | D83104 | MD |
NPI | 1033529557 |
---|---|
Provider Name | Firas Al Sammarrai |
First Address | Waldorf, MD 20603-4527 |
Second Address | Waldorf, MD 20603-4527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2014 |
Last Update Date | 08/12/2021 |