Provider Demographics
NPI:1609001403
Name:ALMADANI, SAMEH BASHAR (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SAMEH
Middle Name:BASHAR
Last Name:ALMADANI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SEAGATE STE 800
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:419-843-7996
Mailing Address - Fax:419-841-7704
Practice Address - Street 1:5700 MONROE ST UNIT 103
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2771
Practice Address - Country:US
Practice Address - Phone:419-843-7996
Practice Address - Fax:419-841-7704
Is Sole Proprietor?:No
Enumeration Date:2009-05-22
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35096984207RH0003X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1609001403OtherANTHEM
OH9522908OtherCIGNA
OHP01523419OtherRRMC
OH0144366Medicaid
OH1609001403OtherMMOH
OH4825794OtherAETNA
OH176853OtherMHP
OHP01523419OtherRRMC