| Sammarian Medical Group, Inc | |
|
7035 N Chestnut Ave Ste 103 Fresno CA 93720-0352 | |
| (559) 324-0700 | |
| (559) 324-0701 |
| Full Name | Sammarian Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7035 N Chestnut Ave, Fresno, California |
| Authorized Official Name and Position | O'key Sams (OWNER) |
| Authorized Official Contact | 5593240700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sammarian Medical Group, Inc 7035 N Chestnut Ave Ste 103 Fresno CA 93720-0352 Ph: (559) 324-0700 | Sammarian Medical Group, Inc 7035 N Chestnut Ave Ste 103 Fresno CA 93720-0352 Ph: (559) 324-0700 |
| NPI Number | 1518103753 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 01/31/2013 |
| Medicare PECOS PAC ID | 0547313082 |
|---|---|
| Medicare Enrollment ID | O20090731000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518103753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A55586 (California) | Primary |
| Provider Name | O'key L Sams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760409726 PECOS PAC ID: 0648323188 Enrollment ID: I20090731000475 |
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