Search › Maryland › 171M00000X
Basiru Samba
NPI 1548636269 · on the registry since 2015
Practice
- Address
- 4802 Willes Vision Dr
Bowie, MD 20720 - Phone
- (301) 284-0636
- Fax
- (301) 542-0184
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 163W00000X
163WA2000X
164W00000X
174400000X
246Y00000X
247200000X
372500000X
372600000X
3747A0650X
374U00000X
376G00000X
376J00000X
376K00000X - Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland