Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | D0053800 | MD |
NPI | 1063495695 |
---|---|
Provider Name | Saba Samee |
First Address | Alexandria, VA 22310-2358 |
Second Address | Clinton, MD 20735-4209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 12/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G59592 | (02) |