| Iqbal A Samad Pc | |
|
2148 Main St Buffalo NY 14214-2668 | |
| (716) 835-9866 | |
| (716) 835-0026 |
| Full Name | Iqbal A Samad Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2148 Main St, Buffalo, New York |
| Authorized Official Name and Position | Iqbal A Samad (PHYSICIAN) |
| Authorized Official Contact | 7168359866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iqbal A Samad Pc 2148 Main St Buffalo NY 14214-2668 Ph: (716) 835-9866 | Iqbal A Samad Pc 2148 Main St Buffalo NY 14214-2668 Ph: (716) 835-9866 |
| NPI Number | 1770886467 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 12/17/2010 |
| Medicare PECOS PAC ID | 5395933931 |
|---|---|
| Medicare Enrollment ID | O20101222000964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770886467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 105005 (New York) | Primary |
| Provider Name | Iqbal A Samad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396701843 PECOS PAC ID: 7911195557 Enrollment ID: I20101222000981 |
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