| Sama Healthcare | |
|
2639 Nicollet Ave., Suite 130 Minneapolis MN 55408 | |
| (612) 886-2686 | |
| (612) 781-5251 |
| Full Name | Sama Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 2639 Nicollet Ave.,, Minneapolis, Minnesota |
| Authorized Official Name and Position | Suad Haji (OWNER) |
| Authorized Official Contact | 6129871439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sama Healthcare 2639 Nicollet Ave., Suite 130 Minneapolis MN 55408 Ph: (612) 886-2686 | Sama Healthcare 2639 Nicollet Ave., Suite 130 Minneapolis MN 55408 Ph: (612) 886-2686 |
| NPI Number | 1376906388 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 04/25/2019 |
| Medicare PECOS PAC ID | 0143500272 |
|---|---|
| Medicare Enrollment ID | O20161207002031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376906388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20943 (Minnesota) | Primary |
| Provider Name | Stephen F Darrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659585156 PECOS PAC ID: 5698908358 Enrollment ID: I20140502001363 |
| Provider Name | Virginia Otey Villarreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518583590 PECOS PAC ID: 0042639379 Enrollment ID: I20201006000705 |
| Provider Name | Eleanor Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588251235 PECOS PAC ID: 5496161911 Enrollment ID: I20210309000505 |
| Provider Name | Binh C Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306429857 PECOS PAC ID: 5890198303 Enrollment ID: I20210721002631 |
| Provider Name | Wosilat A Soboyede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619511235 PECOS PAC ID: 0143699603 Enrollment ID: I20221206001615 |
| Provider Name | Emmanuela A Enyinnaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346958642 PECOS PAC ID: 6901278647 Enrollment ID: I20230207001388 |
| Provider Name | Olivia Mabberi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013613660 PECOS PAC ID: 5698149425 Enrollment ID: I20230317002573 |
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