Provider Demographics
NPI:1487847489
Name:ALSAMKARI, RANNIE (MD)
Entity Type:Individual
Prefix:
First Name:RANNIE
Middle Name:
Last Name:ALSAMKARI
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 1:3451 PINE RIDGE RD BLDG 601
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-3922
Mailing Address - Country:US
Mailing Address - Phone:239-449-3072
Mailing Address - Fax:877-334-1886
Practice Address - Street 1:681 GOODLETTE RD STE 220
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5612
Practice Address - Country:US
Practice Address - Phone:239-263-4511
Practice Address - Fax:239-263-5562
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1529162086S0105X
KY40670390200000X
OH0909452086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2869356Medicaid
OH0535844Medicaid
OH2869356Medicaid
OH9245163Medicare PIN