Provider Demographics
NPI:1407588635
Name:MIAN, SAMEEN (DO)
Entity Type:Individual
Prefix:
First Name:SAMEEN
Middle Name:
Last Name:MIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 N POINT DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214-3873
Mailing Address - Country:US
Mailing Address - Phone:833-684-1889
Mailing Address - Fax:814-226-4505
Practice Address - Street 1:330 N POINT DR STE 200
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-3873
Practice Address - Country:US
Practice Address - Phone:833-684-1889
Practice Address - Fax:814-226-4505
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT021990207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine