Provider Demographics
NPI:1083654669
Name:SAMUELS, GARFIELD HUE (MD)
Entity Type:Individual
Prefix:DR
First Name:GARFIELD
Middle Name:HUE
Last Name:SAMUELS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4452 CORPORATION LN
Mailing Address - Street 2:STE 300
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3173
Mailing Address - Country:US
Mailing Address - Phone:757-518-8827
Mailing Address - Fax:757-518-8832
Practice Address - Street 1:4452 CORPORATION LN
Practice Address - Street 2:STE 300
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3173
Practice Address - Country:US
Practice Address - Phone:757-518-8827
Practice Address - Fax:757-518-8832
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA36119207R00000X
VA0101240760207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA$$$$$$$$$OtherMEDICARE
VA$$$$$$$$$OtherTRICARE
VA$$$$$$$$$OtherTRICARE