| Robert Samaan, Md, Inc | |
|
3050 Mack Rd Suite 305 Fairfield OH 45014-5379 | |
| (513) 682-7273 | |
| (513) 682-7353 |
| Full Name | Robert Samaan, Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3050 Mack Rd, Fairfield, Ohio |
| Authorized Official Name and Position | Robert George Samaan (PRESIDENT) |
| Authorized Official Contact | 5316827273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Samaan, Md, Inc 3050 Mack Rd Suite 305 Fairfield OH 45014-5379 Ph: (513) 682-7273 | Robert Samaan, Md, Inc 3050 Mack Rd Suite 305 Fairfield OH 45014-5379 Ph: (513) 682-7273 |
| NPI Number | 1336208974 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4082696810 |
|---|---|
| Medicare Enrollment ID | O20040604000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336208974 | NPI | - | NPPES |
| 2140829 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Ohio) | Primary |
| Provider Name | Robert G Samaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265482871 PECOS PAC ID: 5890777627 Enrollment ID: I20040609000003 |
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