Abu El-Sameed, Yaser
Abu El-Sameed, Yaser is an individual health care provider with primary practice located at 550 S Landmark Ave , Bloomington IN 47403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Abu El-Sameed, Yaser can be contacted via phone (812) 331-3400.Contact Information
Primary practice address
550 S Landmark Ave
Bloomington IN 47403
Phone: (812) 331-3400
Fax: (812) 332-7265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD12177 | Rhode Island |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD12177 | Rhode Island |
Profile Details
| NPI number | 1104950542 |
|---|---|
| LBN Legal business name | Abu El-Sameed, Yaser |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jan 21st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104950542 | NPPES |
| Rhode Island | MEDICAID | YA67887 | |
| Rhode Island | Other | P00458546 |
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