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Contact Information

SYED A SAMAD, MD
4800 HAZEL ST
PINE BLUFF, AR71603
 Phone: 870-534-5533
 Fax: 870-534-5535
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for SYED A SAMAD · (Male)

NPI Number 1174585814
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2006
Last updated 08/05/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AR License # R4495
  • AR Medicaid 123407001
  • Other 12162000000 QUAL CHOICE
  • AR Other 5J068 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • JEFFERSON REGIONAL MEDICAL CENTER - (Acute Care)
    1600 WEST 40TH AVENUE
    PINE BLUFF, AR 71603
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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