Basic Information
| Provider Information | |||||||||
| NPI: | 1861812182 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAOUF | ||||||||
| FirstName: | SAMUEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8250 GEORGIA AVE APT 1319 | ||||||||
| Address2: | |||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209105075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2015776728 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 5051 GREENSPRING AVE STE 302 | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212094358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106019515 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2014 | ||||||||
| LastUpdateDate: | 12/09/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/09/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | 2909721 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 2084A2900X | D0088236 | MD | Y |
No ID Information.