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Contact Information

IMTIAZ R SAMAD, MD
600 SENECA STREET
ONEIDA MEDICAL ASSOCIATES PLLC
ONEIDA, NY13421
 Phone: 315-363-1345
 Fax: 315-363-9243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IMTIAZ R SAMAD · (Male)

NPI # 1760417992
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2006
Last updated 11/18/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 208658
  • NY Medicaid 01679941
Hospital affiliation(s)
  • ONEIDA HEALTHCARE CENTER - (Acute Care)
    321 GENESEE STREET
    ONEIDA, NY 13421
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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